Graduated: 2008
NPI: 1124256888
Practice Locations (2)
LAKE WALES EMERGENCY PHYSICIANS, LLC
410 S 11TH ST
LAKE WALES, FL 338534203
8636761433
RIDGEWOOD EMERGENCY GROUP, LLC
6945 CYPRESS GARDENS BLVD
WINTER HAVEN, FL 338843572
8634224971
Source: CMS National Downloadable File, September 2026.