Graduated: 2008
NPI: 1013150564
Practice Locations (2)
FLORIDA HOSPITAL MEDICAL GROUP INC
410 S 11TH ST
LAKE WALES, FL 338534203
8634224971
FLORIDA HOSPITAL MEDICAL GROUP INC
2600 WESTHALL LN
MAITLAND, FL 327517102
4072002700
Source: CMS National Downloadable File, September 2026.