Medical school: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated: 2023
NPI: 1720770746
Practice Locations (2)
OHI WEST MEDICAL GROUP LLC
701 6TH ST S
ST PETERSBURG, FL 337014814
7278231234
OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES UNIVERSITY LLC
3010 E 138TH AVE, SUITE 1
TAMPA, FL 336133902
8138058102
Source: CMS National Downloadable File, September 2026.