Graduated: 1983
NPI: 1578603767
Practice Locations (2)
NORTH COUNTY DERMATOLOGY CLINIC PA
6500 N SOCRUM LOOP RD, SUITE 100
LAKELAND, FL 338094179
8638533331
AMERICAN INSTITUTE OF DERMATOLOGY PA
3109 MEDICAL WAY
SEBRING, FL 338705548
8633860786
Source: CMS National Downloadable File, September 2026.