Graduated: 2003
NPI: 1538232236
Practice Locations (2)
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
1611 NW 12 AVE
MIAMI, FL 331361005
3055857110
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
9333 SW 152ND ST
PALMETTO BAY, FL 331571778
3052512500
Source: CMS National Downloadable File, September 2026.