Graduated: 2020
Also: PEDIATRIC MEDICINE
NPI: 1871121871
Practice Locations (3)
12901 BRUCE B DOWNS BLVD, SUITE 62
TAMPA, FL 336124799
PO BOX, SUITE 776879
CHICAGO, IL 606776879
1951 BIDHOP LN, FL 4
LOUISVILLE, KY 402181923
Source: CMS National Downloadable File, September 2026.