Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1629077342
Practice Locations (2)
CONVIVA MEDICAL CENTER MANAGEMENT, LLC
2812 SAINT MARKS DR
DUNEDIN, FL 346981926
7273284633
CONVIVA MEDICAL CENTER MANAGEMENT, LLC
5238 -16 NORWOOD AVE
JACKSONVILLE, FL 322085005
9048611222
Source: CMS National Downloadable File, September 2026.