Graduated: 1988
NPI: 1417917618
Practice Locations (2)
FLORIDA HOSPITAL MEDICAL GROUP INC
2600 WESTHALL LN
MAITLAND, FL 327517102
4072002700
FLORIDA HOSPITAL PHYSICIAN GROUP INC
13901 BRUCE B DOWNS BLVD
TAMPA, FL 336133905
8136157260
Source: CMS National Downloadable File, September 2026.