Good Shepherd Medical Clinic PA

NPI #1699934752 in Spring Hill, Florida

Provider Information

NPI Number
1699934752
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
General Practice
Enumeration Date
Jun 4, 2008
Last Updated
Jun 25, 2008

Practice Location

Address
8425 NORTHCLIFFE BLVD
Address 2
SUITE 109
State
Florida
ZIP Code
34606-1107
Phone
(352) 683-1017

Authorized Official

Name
DR. ROGER B LEE, MD
Title
PRESIDENT
Phone
(352) 666-1011

Specialties & Taxonomy Codes

Specialty
General Practice

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