Graduated: 2018
NPI: 1154826667
Practice Locations (2)
LAKE WALES PHYSICIAN SERVICES, LLC
410 S 11TH ST
LAKE WALES, FL 338534203
8636761433
HOSPITAL PHYSICIAN SERVICES OF FLORIDA PA
200 AVE F NE
WINTER HAVEN, FL 338814131
8632931121
Source: CMS National Downloadable File, September 2026.