Medical school: UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated: 2004
Offers telehealth
NPI: 1174596050
Practice Locations (1)
INTERCOASTAL MEDICAL GROUP INC
11715 RANGELAND PKWY
BRADENTON, FL 342119529
9415380001
Source: CMS National Downloadable File, September 2026.