Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2005
NPI: 1841407749
Practice Locations (2)
CONVIVA MEDICAL CENTER MANAGEMENT, LLC
5238 -16 NORWOOD AVE
JACKSONVILLE, FL 322085005
9048611222
CONVIVA MEDICAL CENTER MANAGEMENT, LLC
876 SAXON BLVD
ORANGE CITY, FL 327638214
3867740491
Source: CMS National Downloadable File, September 2026.