Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1993
NPI: 1841274552
Practice Locations (2)
LAKELAND REGIONAL HEALTH SYSTEMS INC
1324 LAKELAND HILL BLVD
LAKELAND, FL 338054543
8636871100
LEGACY HEALTHCARE SERVICES INC
17470 BROOKSIDE TRACE CT
TAMPA, FL 336476201
8134435042
Source: CMS National Downloadable File, September 2026.