Graduated: 2021
NPI: 1164191979
Practice Locations (2)
TALLAHASSEE ORTHOPEDIC CLINIC III PL
5901 E FOWLER AVE, SUITE 100
TEMPLE TERRACE, FL 336172305
8139789700
OHI WEST MEDICAL GROUP II LLC
38051 MARKET SQUARE DR, SUITE 121
ZEPHYRHILLS, FL 335427504
8137792057
Source: CMS National Downloadable File, September 2026.