Graduated: 2013
NPI: 1952861221
Practice Locations (2)
RIDGEWOOD PHYSICIAN SERVICES, LLC
40100 HWY 27
DAVENPORT, FL 338375906
8634224971
FLORIDA HOSPITAL PHYSICIAN GROUP INC
13901 BRUCE B DOWNS BLVD
TAMPA, FL 336133905
8136157260
Source: CMS National Downloadable File, September 2026.