Graduated: 1997
NPI: 1871565887
Practice Locations (2)
TALLAHASSEE MEMORIAL HEALTHCARE INC
2633 CENTENNIAL BLVD, SUITE 100
TALLAHASSEE, FL 323080606
8504315404
OPTUM MEDICAL CARE OF NEW JERSEY PC
324 PALISADE AVE, FL 2
JERSEY CITY, NJ 073071791
2013861400
Source: CMS National Downloadable File, September 2026.