Medical school: RUTGERS SCHOOL OF DENTAL MEDICINE
Graduated: 2001
Also: ADDICTION MEDICINE
NPI: 1922203223
Practice Locations (1)
FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES
7487 S STATE RD, SUITE 121
MACCLENNY, FL 320635451
9043302215
Source: CMS National Downloadable File, September 2026.