Graduated: 2020
NPI: 1093320848
Practice Locations (2)
POLK EMERGENCY GROUP LLC
2200 OSPREY BLVD
BARTOW, FL 338303308
8635338111
LAKELAND REGIONAL HEALTH SYSTEMS INC
130 PABLO ST
LAKELAND, FL 338033818
8632845941
Source: CMS National Downloadable File, September 2026.