Graduated: 2022
NPI: 1407538994
Practice Locations (3)
EMERGENCY MEDICAL ASSOCIATES OF TAMPA BAY LLC
4211 VAN DYKE RD
LUTZ, FL 335588005
8134437000
OBSERVATION MEDICAL GROUP LLC
6901 SIMMONS LOOP
RIVERVIEW, FL 335789498
8133028000
OBSERVATION MEDICAL GROUP LLC
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 336076307
8138704000
Source: CMS National Downloadable File, September 2026.