Medical school: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated: 1999
NPI: 1992786057
Practice Locations (2)
UNIVERSITY MEDICAL SERVICE ASSOCIATION INC
12901 BRUCE B DOWNS BLVD
TAMPA, FL 336124742
8138218038
UNIVERSITY MEDICAL SERVICE ASSOCIATION INC
4202 E FOWLER AVE
TAMPA, FL 336206750
Source: CMS National Downloadable File, September 2026.