Graduated: 1991
NPI: 1548341563
Practice Locations (3)
FLORIDA HOSPITAL MEDICAL GROUP INC
701 W PLYMOUTH AVE
DELAND, FL 327203236
3869434522
FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC
235 E PRINCETON ST, SUITE 100
ORLANDO, FL 328045554
4073031414
FLORIDA HOSPITAL MEDICAL GROUP INC
210 MARIE LANGDON DR
MANCHESTER, KY 409626388
6065985104
Source: CMS National Downloadable File, September 2026.