Medical school: COLLEGE OF MEDICINE AND SURGERY
Graduated: 1985
NPI: 1124099742
Practice Locations (2)
3228 COVE BEND DR
TAMPA, FL 336132752
8139830700
341 BULLARD PKWY
TEMPLE TERRACE, FL 336175544
8139830700
Source: CMS National Downloadable File, September 2026.