Graduated: 2018
NPI: 1164080909
Practice Locations (5)
RIDGEWOOD PHYSICIAN SERVICES, LLC
40100 HWY 27
DAVENPORT, FL 338375906
8634224971
LAKE WALES PHYSICIAN SERVICES, LLC
410 S 11TH ST
LAKE WALES, FL 338534203
8636761433
OAK GROVE PHYSICIAN SERVICES PA
160 NW 170 ST
NORTH MIAMI BEACH, FL 331695521
3056511100
HOSPITAL PHYSICIAN SERVICES OF FLORIDA PA
2626 CAPITAL MEDICAL BLVD
TALLAHASSEE, FL 323084402
8503255000
GRAND TRAVERSE PHYSICIAN SERVICES PC
1105 6TH ST
TRAVERSE CITY, MI 496842345
2319355000
Source: CMS National Downloadable File, September 2026.