Medical school: NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Graduated: 1999
NPI: 1548422710
Practice Locations (2)
TALLAHASSEE ORTHOPEDIC CLINIC III PL
2605 WELAUNEE BLVD
TALLAHASSEE, FL 323084697
8508778174
TALLAHASSEE ORTHOPEDIC CLINIC III PL
3334 CAPITAL MEDICAL BLVD
TALLAHASSEE, FL 323084470
8508778174
Source: CMS National Downloadable File, September 2026.