Graduated: 2019
NPI: 1366085144
Practice Locations (2)
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
1611 NW 12 AVE
MIAMI, FL 331361005
3055851111
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
9380 SW 150TH ST
MIAMI, FL 331767947
3052565018
Source: CMS National Downloadable File, September 2026.