Medical school: UNIVERSITY OF ALABAMA SCHOOL OF DENTISTRY
Graduated: 1995
NPI: 1285783274
Practice Locations (2)
VILLAGES REGIONAL HOSPITAL PHYSICIAN SERVICES LLC
600 E DIXIE AVE
LEESBURG, FL 347485925
VILLAGES REGIONAL HOSPITAL PHYSICIAN SERVICES LLC
10435 SE 170TH PL
SUMMERFIELD, FL 344918998
3522553615
Source: CMS National Downloadable File, September 2026.