Medical school: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated: 1994
NPI: 1225095326
Practice Locations (2)
SOLANTIC OF JACKSONVILLE LLC
2401 MONUMENT RD
JACKSONVILLE, FL 322252520
9046420337
SOLANTIC OF JACKSONVILLE LLC
410 ATLANTIC BLVD
NEPTUNE BEACH, FL 322664022
6156004074
Source: CMS National Downloadable File, September 2026.