Graduated: 1993
NPI: 1821068990
Practice Locations (2)
EMERGENCY MEDICINE SERVICES OF FL LLC
340 NW COMMERCE DR, LAKE CITY MEDICAL CENTER
LAKE CITY, FL 320554709
8507199000
SOUTHEASTERN EMERGENCY PHYSICIANS LLC
1099 MEDICAL CTR CIR
MAYFIELD, KY 420661179
2702514100
Source: CMS National Downloadable File, September 2026.