Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 1994
NPI: 1164481966
Practice Locations (1)
HSA FLORIDA PHYSICIAN GROUP INC
7100 W 20TH AVE, SUITE G176
HIALEAH, FL 330161875
7864751985
Source: CMS National Downloadable File, September 2026.