Medical school: NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Graduated: 2005
NPI: 1679864581
Practice Locations (2)
HEALTH FIRST PRIVIA MEDICAL GROUP
140 6TH AVE
INDIALANTIC, FL 329033204
3213123501
HEALTH FIRST PRIVIA MEDICAL GROUP
510 SE DIXIE HWY
STUART, FL 349943045
7726007751
Source: CMS National Downloadable File, September 2026.