Graduated: 1993
NPI: 1275599953
Practice Locations (2)
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
1611 NW 12 AVE
MIAMI, FL 331361005
3055851111
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
1801 NW 9TH AVE, FL 2
MIAMI, FL 331361101
7864668490
Source: CMS National Downloadable File, September 2026.