Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1986
NPI: 1619062585
Practice Locations (5)
FLORIDA DEPARTMENT OF HEALTH
495 E MAIN ST
LAKE BUTLER, FL 320541731
3864963211
FLORIDA DEPARTMENT OF HEALTH
480 W LOWDER ST
MACCLENNY, FL 320632664
9042596291
LAKE AREA PHYSICAL THERAPY INC.
PO BOX, SUITE 1099
Melrose, FL 326661099
LAKE AREA PHYSICAL THERAPY INC.
PO BOX, SUITE 1099
MELROSE, FL 326661099
FLORIDA DEPARTMENT OF HEALTH
1801 N TEMPLE AVE
STARKE, FL 320911960
9049647732
Source: CMS National Downloadable File, September 2026.