Graduated: 2024
NPI: 1215727565
Practice Locations (2)
OHI WEST MEDICAL GROUP II LLC
13311 N 56TH ST
TAMPA, FL 336171161
8138992015
FLORIDA UROLOGY PARTNERS LLP
2708 W SAINT ISABEL ST
TAMPA, FL 336076320
8138777434
Source: CMS National Downloadable File, September 2026.