Medical school: UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated: 1994
Offers telehealth
NPI: 1285631028
Practice Locations (2)
INTERCOASTAL MEDICAL GROUP INC
11505 RANGELAND PKWY
BRADENTON, FL 342114041
9419076016
CORA HEALTH SERVICES INC
11661 STATE RD 70
LAKEWOOD RANCH, FL 342029416
9412220321
Source: CMS National Downloadable File, September 2026.