Graduated: 1996
Offers telehealth
NPI: 1629018726
Practice Locations (2)
LAKE WALE PEDIATRIC INTERNAL MEDICINE P.A.
425 11TH ST, SUITE 2
Lake Wales, FL 338534239
LAKE WALE PEDIATRIC INTERNAL MEDICINE P.A.
425 S 11TH ST
LAKE WALES, FL 338534239
8636768935
Source: CMS National Downloadable File, September 2026.