Medical school: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated: 1992
NPI: 1184642217
Practice Locations (6)
NORTH SHORE-LIJ MEDICAL PC
4950 CAMBERLEY LN
OLDSMAR, FL 346775129
5164057000
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
4950 CAMBERLEY LN
OLDSMAR, FL 346775129
5164057080
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
9037 POINT CYPRESS DR
ORLANDO, FL 328365475
5164057080
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
303 SUNNYSIDE RD
TEMPLE TERRACE, FL 336177235
5162663456
NORTH SHORE-LIJ MEDICAL PC
10201 66TH RD
FOREST HILLS, NY 113752029
7188304000
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
1220 HICKSVILLE RD
SEAFORD, NY 117831604
5162663456
Source: CMS National Downloadable File, September 2026.