Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2002
Offers telehealth
NPI: 1235121724
Practice Locations (2)
530 TYRONE BLVD N
SAINT PETERSBURG, FL 337107125
530 TYRONE BLVD N
ST PETERSBURG, FL 337107125
7278233022
Source: CMS National Downloadable File, September 2026.