Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 1977
NPI: 1326152190
Practice Locations (2)
MEDFAST URGENT CARE CENTERS LLC
7925 N WICKHAM RD, SUITE A
MELBOURNE, FL 329408211
3217517222
MEDFAST URGENT CARE CENTERS LLC
5005 PORT ST JOHN PKWY
PORT ST JOHN, FL 329274305
3217577222
Source: CMS National Downloadable File, September 2026.