Graduated: 2005
NPI: 1568641728
Practice Locations (7)
1405 NW 14 ST, SUITE 190
FORT LAUDERDALE, FL 333232851
1405 NW 14 ST, SUITE 190
SUNRISE, FL 333232851
1643 N HARRISON PKWY, BUILDING H SUITE 100
SUNRISE, FL 333232857
1643 NW 136 AVE
SUNRISE, FL 333232857
5870 HIATUS RD
TAMARAC, FL 333216424
1792 ALYSHEBA WAY, SUITE 150
LEXINGTON, KY 405092288
3029 BLACKFORD PKWY
LEXINGTON, KY 405099027
Source: CMS National Downloadable File, September 2026.