Graduated: 2025
NPI: 1407723018
Practice Locations (2)
WT HEALTH OF FLORIDA LLC
5979 VINELAND RD, SUITE 109
ORLANDO, FL 328197857
9549237440
BALLOUT INTERNATIONAL PLLC
5157 PARK CLUB DR
SARASOTA, FL 342351801
3213879451
Source: CMS National Downloadable File, September 2026.