Medical school: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated: 1992
NPI: 1841266764
Practice Locations (1)
OPTUMCARE FLORIDA, LLC
7501 DR MARTIN LUTHER KING JR ST N, OPTUM 9TH STREET
ST PETERSBURG, FL 337025205
7275276719
Source: CMS National Downloadable File, September 2026.