Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 1998
NPI: 1629042791
Practice Locations (3)
OHI WEST MEDICAL GROUP LLC
603 7TH ST S
ST PETERSBURG, FL 337014719
OHI WEST MEDICAL GROUP LLC
700 6TH ST S
ST PETERSBURG, FL 337014815
OHI WEST MEDICAL GROUP LLC
701 6TH ST S
ST PETERSBURG, FL 337014814
7278231234
Source: CMS National Downloadable File, September 2026.