Graduated: 1999
NPI: 1992978191
Practice Locations (3)
484 RIVERSIDE AVE
JACKSONVILLE, FL 322024912
P O BOX, SUITE 932184
ATLANTA, GA 311932184
499 MIDLAND RD
NAZARETH, PA 180649096
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Graduated: 1999
NPI: 1992978191
484 RIVERSIDE AVE
JACKSONVILLE, FL 322024912
P O BOX, SUITE 932184
ATLANTA, GA 311932184
499 MIDLAND RD
NAZARETH, PA 180649096
Source: CMS National Downloadable File, September 2026.