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1578732889
LARGO PHYSICIAN GROUP, LLC
BROOKSVILLE, FL
NPI
1578732889
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Entity Type
Organization
Authorized Contact
WILLIAM TEDRICK JOHNSON
Division VP/AO
615-372-3375
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2008-02-21
Last Update Date
2020-10-21
Business Address
LARGO PHYSICIAN GROUP, LLC
11373 CORTEZ BLVD STE 408
BROOKSVILLE, FL 34613-5406
Phone number: 352-592-7310
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Mailing Address
LARGO PHYSICIAN GROUP, LLC
2000 HEALTH PARK DR
BRENTWOOD, TN 37027-4525
Phone number: 615-373-7600
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