Graduated: 1984
Offers telehealth
NPI: 1629248539
Practice Locations (2)
777 E 25TH ST, SUITE 419
HIALEAH, FL 330133835
3056779519
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
9333 SW 152ND ST
PALMETTO BAY, FL 331571778
3052512500
Source: CMS National Downloadable File, September 2026.