This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Doctors / FL
PHYSICIAN ASSISTANT
Graduated: 2025
NPI: 1366230815
5577 TRAIL SIDE DR
PORT ORANGE, FL 321279330
5001 LBJ FWY, SUITE 320
DALLAS, TX 75244
Source: CMS National Downloadable File, September 2026.