Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1984
NPI: 1144333741
Practice Locations (1)
EMERGENCY MEDICINE SERVICES OF FL LLC
1401 W SEMINOLE BLVD, CENTRAL FLORIDA REGIONAL HOSPITAL
SANFORD, FL 327716743
4073214500
Source: CMS National Downloadable File, September 2026.