Medical school: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated: 1972
NPI: 1508858044
Practice Locations (2)
AQUA DERMATOLOGY OF FLORIDA, PA
1122 DRUID RD E
CLEARWATER, FL 337564100
7274612282
AQUA DERMATOLOGY OF FLORIDA, PA
14840 TAMIAMI TRL
NORTH PORT, FL 342872701
9415641542
Source: CMS National Downloadable File, September 2026.