Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 1996
NPI: 1396722476
Practice Locations (1)
FLORIDA HEALTH CARE PLAN INC
239 N RIDGEWOOD AVE
EDGEWATER, FL 321321734
3864274868
Source: CMS National Downloadable File, September 2026.