Graduated: 2009
NPI: 1134500093
Practice Locations (2)
LAKE WALES EMERGENCY PHYSICIANS, LLC
410 S 11TH ST
LAKE WALES, FL 338534203
8636761433
RIDGEWOOD EMERGENCY GROUP, LLC
17430 BALI BLVD
WINTER GARDEN, FL 347879507
8634225582
Source: CMS National Downloadable File, September 2026.