Medical school: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1984
NPI: 1861492498
Practice Locations (3)
CONVIVA MEDICAL CENTER MANAGEMENT, LLC
500 VONDERBURG DR, SUITE 215W
BRANDON, FL 335115977
8136610219
CONVIVA MEDICAL CENTER MANAGEMENT, LLC
5238 -16 NORWOOD AVE
JACKSONVILLE, FL 322085005
9048611222
CONVIVA MEDICAL CENTER MANAGEMENT, LLC
3854 BRITTON PLZ
TAMPA, FL 336111406
8138372814
Source: CMS National Downloadable File, September 2026.