Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1983
NPI: 1689677965
Practice Locations (1)
MID-FLORIDA DERMATOLOGY ASSOCIATES P.A.
100 W GORE ST, SUITE 602
ORLANDO, FL 328061051
4072997333
Source: CMS National Downloadable File, September 2026.