Graduated: 2013
NPI: 1780026104
Practice Locations (2)
SMA HEALTHCARE INC
1150 RED JOHN DR
DAYTONA BEACH, FL 321241016
8005394228
BAPTIST BEHAVIORAL HEALTH LLC
800 PRUDENTIAL DR
JACKSONVILLE, FL 322078202
9043763800
Source: CMS National Downloadable File, September 2026.