Graduated: 1998
NPI: 1629003983
Practice Locations (3)
2700 N ATLANTIC BLVD
FORT LAUDERDALE, FL 333087510
2700 N ATLANTIC BLVD
FT LAUDERDALE, FL 333087510
3055540816
190 NE 191ST ST
MIAMI, FL 331793711
3059452411
Source: CMS National Downloadable File, September 2026.