Medical school: UNIVERSITY OF ALABAMA SCHOOL OF DENTISTRY
Graduated: 1995
NPI: 1467673814
Practice Locations (2)
RIVER CITY VISION CENTER PA
13453 N MAIN ST, SUITE 203
JACKSONVILLE, FL 322182773
9046962027
464016 STATE RD, SUITE 200
YULEE, FL 320976339
9045043953
Source: CMS National Downloadable File, September 2026.