Graduated: 2009
NPI: 1992022602
Practice Locations (2)
FLORIDA DEPARTMENT OF HEALTH
1728 NW 9TH AVE
OKEECHOBEE, FL 349724340
8634625779
FLORIDA DEPARTMENT OF HEALTH
5150 NW MILNER DR
PORT SAINT LUCIE, FL 349833392
7724623800
Source: CMS National Downloadable File, September 2026.