Graduated: 2003
NPI: 1972577369
Practice Locations (2)
COASTLINE EMERGENCY PHYSICIANS LLC
601 MAIN ST
DUNEDIN, FL 346985848
9549395000
OBSERVATION MEDICAL GROUP LLC
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 336076307
8138704000
Source: CMS National Downloadable File, September 2026.