Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 1984
NPI: 1720069354
Practice Locations (2)
CORA HEALTH SERVICES INC
11661 STATE RD 70
LAKEWOOD RANCH, FL 342029416
9412220321
6675 BOOKER T WASHINGTON HWY
WIRTZ, VA 241844128
5407216622
Source: CMS National Downloadable File, September 2026.