GOOD SHEPHERD MEDICAL CLINIC PA

BROOKSVILLE, FL
NPI1417116575
Entity TypeOrganization
Authorized ContactROGER B LEE
President
352-686-5023
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME46566)
Enumeration Date2008-06-04
Last Update Date2008-06-25
Business Address
GOOD SHEPHERD MEDICAL CLINIC PA
11329 CORTEZ BLVD
BROOKSVILLE, FL 34613
Phone number: 352-596-5052
Mailing Address
GOOD SHEPHERD MEDICAL CLINIC PA
11329 CORTEZ BLVD
BROOKSVILLE, FL 34613-5407
Phone number: 352-596-5052