Medical school: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1983
Offers telehealth
NPI: 1891887162
Practice Locations (1)
MERION SQUARE ROAD MEDICAL PC
6421 N FLORIDA AVE, SUITE D 1149
TAMPA, FL 336046007
6465988338
Source: CMS National Downloadable File, September 2026.