Graduated: 2016
NPI: 1124567748
Practice Locations (2)
SOUTH BROWARD HOSPITAL DISTRICT
1150 N 35 AVE
HOLLYWOOD, FL 330215424
SOUTH BROWARD HOSPITAL DISTRICT
12235 PINES BLVD
PEMBROKE PINES, FL 330264119
9542654325
Source: CMS National Downloadable File, September 2026.