Medical school: UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated: 1998
NPI: 1124094503
Practice Locations (3)
COASTAL ORTHOPEDICS AND SPORTS MEDICINE OF SOUTHWEST FLORIDA PA
8340 LAKEWOOD RANCH BLVD, SUITE 300
LAKEWOOD RANCH, FL 342025046
9417921404
LEGACY HEALTHCARE SERVICES INC
17470 BROOKSIDE TRACE CT
TAMPA, FL 336476201
8134435042
MERITUS MEDICAL CENTER INC
11110 MEDICAL CAMPUS RD
HAGERSTOWN, MD 217426700
Source: CMS National Downloadable File, September 2026.