Graduated: 2019
NPI: 1518691708
Practice Locations (2)
GREATER TAMPA BAY PHYSICIAN SPECIALISTS LLC
1615 PASADENA AVE S, SUITE 430
SOUTH PASADENA, FL 337074521
7272452929
OHI WEST MEDICAL GROUP LLC
601 7TH ST S
ST PETERSBURG, FL 337014708
7278936234
Source: CMS National Downloadable File, September 2026.