Graduated: 2009
NPI: 1194952697
Practice Locations (3)
7700 W SUNRISE BLVD
PLANTATION, FL 333454113
7700 W SUNRISE BLVD, MALLSTOP PL 31
PLANTATION, FL 333454113
1613 N HARRISON PKWY, SUITE 200
SUNRISE, FL 333232853
Source: CMS National Downloadable File, September 2026.