Graduated: 2001
NPI: 1366616484
Practice Locations (2)
21150 BISCAYNE BLVD, SUITE 104
AVENTURA, FL 331801231
7863205022
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
2801 NW 79TH AVE
DORAL, FL 331221174
7864661286
Source: CMS National Downloadable File, September 2026.