Graduated: 1982
NPI: 1609969807
Practice Locations (2)
MEDISUN 62 MEDICAL CENTER LLC
180 NW 62ND ST
MIAMI, FL 331504543
7863605625
MEDISUN MEDICAL CENTER INC
13886 W DIXIE HWY
NORTH MIAMI, FL 331613343
3054880301
Source: CMS National Downloadable File, September 2026.