Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2016
NPI: 1679922678
Practice Locations (2)
LAKELAND REGIONAL HEALTH SYSTEMS INC
1324 LAKELAND HILL BLVD
LAKELAND, FL 338054543
8636871100
BAYSIDE MEDICAL GROUP LLC
1200 7TH AVE N
SAINT PETERSBURG, FL 337051300
7278251100
Source: CMS National Downloadable File, September 2026.