Largo Physician Group, LLC
NPI #1578732889 in Brooksville, Florida
Provider Information
- NPI Number
- 1578732889
- Entity Type
- Organization
- Organization Name
- Largo Physician Group, LLC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Feb 21, 2008
- Last Updated
- Oct 21, 2020
Practice Location
- Address
- 11373 CORTEZ BLVD STE 408
- City
- Brooksville
- State
- Florida
- ZIP Code
- 34613-5406
- Phone
- (352) 592-7310
Authorized Official
- Name
- WILLIAM TEDRICK JOHNSON
- Title
- DIVISION VP/AO
- Phone
- (615) 372-3375
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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