Medical school: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated: 1983
NPI: 1669432290
Practice Locations (2)
2890 CTR POINTE DR
FORT MYERS, FL 33916
4371 VERONICA S SHOEMAKER BLVD, ATTN CREDENTIAL DEPARTMENT
FORT MYERS, FL 339162216
Source: CMS National Downloadable File, September 2026.