Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 1989
NPI: 1235183559
Practice Locations (2)
BAYCARE MEDICAL GROUP, INC.
2461 ENTERPRISE RD, SUITE C
CLEARWATER, FL 337631726
7277255060
BAYCARE MEDICAL GROUP, INC.
200 AVE F NE
WINTER HAVEN, FL 338814131
Source: CMS National Downloadable File, September 2026.