Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1986
NPI: 1801975412
Practice Locations (1)
AZUL COSMETIC SURGERY AND MEDICAL SPA PA
13470 PARKER COMMONS BLVD, SUITE 101
FORT MYERS, FL 339121850
2394157576
Source: CMS National Downloadable File, September 2026.