Graduated: 1988
NPI: 1811924210
Practice Locations (11)
9143 PHILIPS HWY, SUITE 110
JACKSONVILLE, FL 322561365
9045380270
10614 LEM TURNER RD
JACKSONVILLE, FL 322184562
9047688576
12961 N MAIN ST, SUITE 305
JACKSONVILLE, FL 322182772
9047577425
1 SHIRCLIFF WAY
JACKSONVILLE, FL 322044748
9043087300
3599 UNIVERISTY BLVD S
JACKSONVILLE, FL 322164252
9043457607
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 322164207
9043996111
4131 UNIVERSITY BLVD S, SUITE 6
JACKSONVILLE, FL 322164346
9047372722
4901 RICHARD ST
JACKSONVILLE, FL 322077328
9047373120
5730 BOWDEN RD, SUITE 110
JACKSONVILLE, FL 322166174
9044190273
800 PRUDENTIAL DR
JACKSONVILLE, FL 322078202
9042022092
244 N 3RD ST
MACCLENNY, FL 320632106
9042599660
Source: CMS National Downloadable File, September 2026.