Medical school: PONCE SCHOOL OF MEDICINE
Graduated: 2008
NPI: 1740420405
Practice Locations (2)
19105 N US HWY 41, SUITE 300
LUTZ, FL 335494206
8134000375
FLORIDA HOSPITAL PHYSICIAN GROUP INC
2700 HEALING WAY
WESLEY CHAPEL, FL 335435453
Source: CMS National Downloadable File, September 2026.