Medical school: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1982
Offers telehealth
NPI: 1861528101
Practice Locations (2)
1370 13TH AVE S, SUITE 121
Jacksonville Beach, FL 322503206
1370 13TH AVE S, SUITE 121
JACKSONVILLE BEACH, FL 322503206
9042490041
Source: CMS National Downloadable File, September 2026.