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1417116575
GOOD SHEPHERD MEDICAL CLINIC PA
BROOKSVILLE, FL
NPI
1417116575
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Entity Type
Organization
Authorized Contact
ROGER B LEE
President
352-686-5023
Organization Subpart ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME46566)
Enumeration Date
2008-06-04
Last Update Date
2008-06-25
Business Address
GOOD SHEPHERD MEDICAL CLINIC PA
11329 CORTEZ BLVD
BROOKSVILLE, FL 34613
Phone number: 352-596-5052
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Mailing Address
GOOD SHEPHERD MEDICAL CLINIC PA
11329 CORTEZ BLVD
BROOKSVILLE, FL 34613-5407
Phone number: 352-596-5052
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