Graduated: 1972
NPI: 1770597569
Practice Locations (2)
FLORIDA HOSPITAL MEDICAL GROUP INC
40124 HWY 27, SUITE 104
DAVENPORT, FL 338375905
8634217626
FLORIDA HOSPITAL PHYSICIAN GROUP INC
13901 BRUCE B DOWNS BLVD
TAMPA, FL 336133905
8136157260
Source: CMS National Downloadable File, September 2026.