Graduated: 1990
NPI: 1376516880
Practice Locations (2)
UNIVIDA HALLANDALE MEDICAL CENTER LLC
2500 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL 330094834
9545055009
UNIVIDA HALLANDALE MEDICAL CENTER LLC
2500 E HALLANDALE BEACH BLVD, SUITE QR
HALLANDALE BEACH, FL 330094834
9545055009
Source: CMS National Downloadable File, September 2026.