Graduated: 2003
NPI: 1366524134
Practice Locations (2)
FLORIDA PRACTITIONERS, LLC
800 MEADOWS RD
BOCA RATON, FL 334862304
5619557100
FLORIDA PRACTITIONERS, LLC
1000 NE 56TH ST
FORT LAUDERDALE, FL 333344149
9542298635
Source: CMS National Downloadable File, September 2026.