Graduated: 1975
NPI: 1467485953
Practice Locations (3)
1507 W REYNOLDS ST, SUITE B
PLANT CITY, FL 335634702
8137521053
SOUTH FLORIDA BAPTIST HOSPITAL INC
301 N ALEXANDER ST
PLANT CITY, FL 335634303
SOUTH FLORIDA BAPTIST HOSPITAL INC
3202 N PARK RD
PLANT CITY, FL 335632026
8137578343
Source: CMS National Downloadable File, September 2026.