GOOD SHEPHERD MEDICAL CLINIC PA

BROOKSVILLE, FL
NPI1316180409
Entity TypeOrganization
Authorized ContactROGER B LEE
President
352-686-5023
Organization Subpart ?Yes
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: FL  ME0048810)
Enumeration Date2009-04-20
Last Update Date2009-04-20
Business Address
GOOD SHEPHERD MEDICAL CLINIC PA
11373 CORTEZ BLVD SUITE 209
BROOKSVILLE, FL 34613-5414
Phone number: 352-596-4027
Mailing Address
GOOD SHEPHERD MEDICAL CLINIC PA
11373 CORTEZ BLVD SUITE 209
BROOKSVILLE, FL 34613-5414
Phone number: 352-596-4027