Graduated: 1989
NPI: 1316156755
Practice Locations (2)
SOLANTIC/SOUTH FLORIDA LLC
18203 PINES BLVD
PEMBROKE PINES, FL 330291417
9548895823
SOLANTIC/SOUTH FLORIDA LLC
9035 PINES BLVD
PEMBROKE PINES, FL 330246440
9543780333
Source: CMS National Downloadable File, September 2026.