Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1997
NPI: 1912989625
Practice Locations (2)
TALLAHASSEE ORTHOPEDIC CLINIC III PL
10051 5TH ST N
ST PETERSBURG, FL 337022289
7275275272
LEGACY HEALTHCARE SERVICES INC
17470 BROOKSIDE TRACE CT
TAMPA, FL 336476201
8134435042
Source: CMS National Downloadable File, September 2026.