Graduated: 2023
NPI: 1851935670
Practice Locations (2)
5618 FISHHAWK CROSSING BLVD
LITHIA, FL 335475900
8136555433
TALLAHASSEE ORTHOPEDIC CLINIC III PL
6117 GUNN HWY
TAMPA, FL 336254013
8139789700
Source: CMS National Downloadable File, September 2026.