Graduated: 2007
NPI: 1508149410
Practice Locations (5)
NORTH SHORE-LIJ MEDICAL PC
4950 CAMBERLEY LN
OLDSMAR, FL 346775129
5164057000
NORTH SHORE-LIJ MEDICAL PC
4614 EMERALD PALMS DR
WINTER HAVEN, FL 338843508
5164057080
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
4717 EMERALD PALMS CT
WINTER HAVEN, FL 338843595
5164057000
NORTH SHORE-LIJ MEDICAL PC
10 MEDICAL PLAZA
GLEN COVE, NY 115422101
5166740500
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
9525 QUEENS BLVD
REGO PARK, NY 113744510
7183605522
Source: CMS National Downloadable File, September 2026.