Graduated: 2023
NPI: 1205518065
Practice Locations (2)
OBSERVATION MEDICAL GROUP LLC
6901 SIMMONS LOOP
RIVERVIEW, FL 335789498
8133028000
EMERGENCY MEDICAL ASSOCIATES OF TAMPA BAY LLC
4501 BRUCE B DOWNS BLVD
WESLEY CHAPEL, FL 335449216
8138704000
Source: CMS National Downloadable File, September 2026.