Medical school: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated: 1983
NPI: 1689688830
Practice Locations (1)
DIVINE DERMATOLOGY PLLC
2191 9TH AVE N, SUITE 100
SAINT PETERSBURG, FL 337137147
7275280321
Source: CMS National Downloadable File, September 2026.