Graduated: 2002
NPI: 1902884307
Practice Locations (3)
3501 JOHNSON ST
HOLLYWOOD, FL 330215421
9549872000
3600 WASHINGTON ST
HOLLYWOOD, FL 330218216
9549664500
14359 MIRAMAR PKWY, SUITE 507
MIRAMAR, FL 330274134
Source: CMS National Downloadable File, September 2026.