Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 2017
NPI: 1619404415
Practice Locations (2)
UNIVERSITY MEDICAL SERVICE ASSOCIATION INC
4202 E FOWLER AVE
TAMPA, FL 336206750
UNIVERSITY MEDICAL SERVICE ASSOCIATION INC
5802 N 30TH ST
TAMPA, FL 336101469
8132365100
Source: CMS National Downloadable File, September 2026.