Graduated: 2024
NPI: 1740037175
Practice Locations (2)
LAKE ENT AND FPS, PA
1819 SALK AVE
TAVARES, FL 327784311
3523437279
LAKE ENT AND FPS, PA
1501 N US HWY 441, SUITE 1402
THE VILLAGES, FL 321596818
3527538448
Source: CMS National Downloadable File, September 2026.