Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1986
NPI: 1407882467
Practice Locations (2)
HERNANDO PASCO PRIMARY CARE LLC
11373 CORTEZ BLVD
BROOKSVILLE, FL 346135405
3525963032
HERNANDO PASCO PRIMARY CARE LLC
13305 N 56TH ST
TAMPA, FL 336171161
8139881101
Source: CMS National Downloadable File, September 2026.