Medical school: OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 1983
NPI: 1730209685
Practice Locations (2)
11 RIVER PARK DR N
PALM COAST, FL 321371536
250 PALM COAST PKWY NE, UNIT 605
PALM COAST, FL 321378225
3864461200
Source: CMS National Downloadable File, September 2026.