Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1995
NPI: 1609849496
Practice Locations (2)
VITALMD GROUP HOLDING LLC
500 HEALTH BLVD
DAYTONA BEACH, FL 321141492
3862525858
VITALMD GROUP HOLDING LLC
3225 AVIATION AVE, SUITE 700
MIAMI, FL 331334741
3052734641
Source: CMS National Downloadable File, September 2026.