Graduated: 2019
NPI: 1639638901
Practice Locations (2)
UNIVERSITY MEDICAL SERVICE ASSOCIATION INC
4202 E FOWLER AVE
TAMPA, FL 336206750
UNIVERSITY MEDICAL SERVICE ASSOCIATION INC
5802 N 30TH ST
TAMPA, FL 336101469
8132365100
Source: CMS National Downloadable File, September 2026.