Graduated: 2016
NPI: 1922534833
Practice Locations (2)
SOLANTIC/SOUTH FLORIDA LLC
9035 PINES BLVD
PEMBROKE PINES, FL 330246440
9543780333
SOLANTIC/SOUTH FLORIDA LLC
1611 S FEDERAL HWY
POMPANO BEACH, FL 330627514
9545804001
Source: CMS National Downloadable File, September 2026.