Medical school: NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Graduated: 2008
NPI: 1194971127
Practice Locations (1)
VITALMD GROUP HOLDING LLC
3000 SW 148TH AVE, 1147 MIRAMAR OB/GYN LLC
MIRAMAR, FL 330274171
9544997944
Source: CMS National Downloadable File, September 2026.