Graduated: 2024
NPI: 1922992361
Practice Locations (4)
10451 NW 117TH AVE, SUITE 200
MEDLEY, FL 331781138
1643 NW 136 AVE
SUNRISE, FL 333232857
PO BOX
ATLANTA, GA 30384
265 BROOKVIEW CENTRE WAY
KNOXVILLE, TN 379194052
Source: CMS National Downloadable File, September 2026.