Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 1996
Also: SPORTS MEDICINE
NPI: 1316038565
Practice Locations (3)
PROVIDENT ORTHOPEDIC AND SPORTS MEDICINE CENTER
801 MARSHALL FARMS RD
OCOEE, FL 347613316
4079063621
ABILITY HEALTH SERVICES, INC
1200 LEXINGTON GREEN LN
SANFORD, FL 327711013
ABILITY HEALTH SERVICES AND REHABILITATION LP
1200 LEXINGTON GREEN LN
SANFORD, FL 327711013
Source: CMS National Downloadable File, September 2026.