205 Zeagler Dr Ste 101 Palatka, FL 32177-3860 (904) 493-3333
Enumerated
Dec 6, 2005
Record last updated
May 10, 2022
License states listed
FL, IA, MN, NM, TX
Medicare (CMS)
Enrollment
Medicare-enrolled in FL, GA, IN, MO, ND, NM, PA, TX, VA Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Diagnostic Radiology, Internal Medicine
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.