Medical school: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated: 1995
NPI: 1740337039
Practice Locations (2)
12512 BRUCE B DOWNS BLVD
TAMPA, FL 336129209
NORTHSIDE BEHAVIORAL HEALTH CENTER, INC
12512 BRUCE B DOWNS BLVD
TAMPA, FL 336129209
8139778700
Source: CMS National Downloadable File, September 2026.