Graduated: 2019
NPI: 1255979746
Practice Locations (2)
FLORIDA HOSPITAL MEDICAL GROUP INC
2600 WESTHALL LN
MAITLAND, FL 327517102
4072002700
UNIVERSITY MEDICAL SERVICE ASSOCIATION INC
4202 E FOWLER AVE
TAMPA, FL 336206750
Source: CMS National Downloadable File, September 2026.