Good Shepherd Medical Clinic PA

NPI #1316180409 in Brooksville, Florida

Provider Information

NPI Number
1316180409
Entity Type
Organization
Organization Name
Good Shepherd Medical Clinic PA
Subpart
Yes (part of a larger organization)
Parent Organization
GOOD SHEPHERD MEDICAL CLINIC PA
Primary Specialty
Internal Medicine - Cardiovascular Disease
Enumeration Date
Apr 20, 2009
Last Updated
Apr 20, 2009

Practice Location

Address
11373 CORTEZ BLVD
Address 2
SUITE 209
State
Florida
ZIP Code
34613-5414
Phone
(352) 596-4027

Authorized Official

Name
DR. ROGER B LEE, M.D.
Title
PRESIDENT
Phone
(352) 686-5023

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease

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