Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 1996
NPI: 1942238829
Practice Locations (2)
TAMPA GENERAL MEDICAL GROUP INC
1202 S CHURCH AVE, SUITE A
TAMPA, FL 336295017
8138218095
13349 N 56TH ST
TAMPA, FL 336171161
Source: CMS National Downloadable File, September 2026.