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1437828449
LARGO PHYSICIAN GROUP, LLC
BROOKSVILLE, FL
NPI
1437828449
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Entity Type
Organization
Authorized Contact
WILLIAM TEDRICK JOHNSON
Vice President
615-372-3375
Organization Subpart ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2021-09-13
Last Update Date
2021-09-13
Business Address
LARGO PHYSICIAN GROUP, LLC
11371 CORTEZ BLVD STE 219
BROOKSVILLE, FL 34613-5408
Phone number: 352-592-7310
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Mailing Address
LARGO PHYSICIAN GROUP, LLC
2000 HEALTH PARK DR
BRENTWOOD, TN 37027-4692
Phone number: 615-372-5426
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