Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1990
NPI: 1801890264
Practice Locations (1)
JACKSONVILLE ORTHOPAEDIC INSTITUTE INC
1577 ROBERTS DR, SUITE 225AND226
JACKSONVILLE BEACH, FL 322503264
9042411204
Source: CMS National Downloadable File, September 2026.