Medical school: BAYLOR COLLEGE OF MEDICINE
Graduated: 1998
Offers telehealth
NPI: 1558875310
Practice Locations (2)
1948 MELROSE PLANTATION DR
JACKSONVILLE, FL 322235545
4651 SALISBURY RD, SUITE 400
JACKSONVILLE, FL 322566187
9046610020
Source: CMS National Downloadable File, September 2026.