Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1983
NPI: 1144250341
Practice Locations (3)
595 W GRANADA BLVD D
Ormond Beach, FL 321745181
595 GRANADA BLVD, SUITE D
ORMOND BEACH, FL 32174
595 W GRANADA BLVD, SUITE D
ORMOND BEACH, FL 321745181
3866729000
Source: CMS National Downloadable File, September 2026.