Medical school: UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated: 1995
NPI: 1629174941
Practice Locations (2)
LUMEN DERMATOLOGY LLC
781 HWY 466
LADY LAKE, FL 321596340
3528301500
14310 N DALE MABRY HWY, SUITE 180
TAMPA, FL 336182059
8139624210
Source: CMS National Downloadable File, September 2026.