Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1991
NPI: 1285608299
Practice Locations (2)
MIDWAY SPECIALTY CARE CENTER INC
356 E MIDWAY RD
FORT PIERCE, FL 349827148
7724649746
MIDWAY SPECIALTY CARE CENTER INC
356 E MIDWAY RD
FT PIERCE, FL 349827148
Source: CMS National Downloadable File, September 2026.