Medical school: MIAMI MEDICAL COLLEGE
Graduated: 1981
NPI: 1174512065
Practice Locations (2)
500 10TH AVE S
ST PETERSBURG, FL 337015214
7278984461
OHI WEST MEDICAL GROUP LLC
603 7TH ST S, SUITE 440
ST PETERSBURG, FL 337014719
7278936333
Source: CMS National Downloadable File, September 2026.