Graduated: 2022
NPI: 1366144776
Practice Locations (4)
10451 NW 117TH AVE, SUITE 200
MEDLEY, FL 331781138
PO BOX, SUITE 12493
MIAMI, FL 33101
100 NW 170 ST, SUITE 301
NORTH MIAMI BEACH, FL 33169
PO BOX
ATLANTA, GA 30384
Source: CMS National Downloadable File, September 2026.