Graduated: 2020
NPI: 1639766793
Practice Locations (2)
SOLANTIC/SOUTH FLORIDA LLC
1205 N UNIVERSITY DR
CORAL SPRINGS, FL 330716620
9547808134
SOLANTIC/SOUTH FLORIDA LLC
9035 PINES BLVD
PEMBROKE PINES, FL 330246440
9543780333
Source: CMS National Downloadable File, September 2026.