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Organization
GOOD SHEPHERD MEDICAL CLINIC PA
Active
Organization
GOOD SHEPHERD MEDICAL CLINIC PA
Active
Parent organization
GOOD SHEPHERD MEDICAL CLINIC PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOOD SHEPHERD MEDICAL CLINIC PA
Authorized official
DR. ROGER B LEE MD (PRESIDENT)
(352) 666-1011
Entity
Organization
Contact information
Practice address
8425 NORTHCLIFFE BLVD, SUITE 108, SPRING HILL, FL 34606-1107
(352) 684-8960
(352) 684-8986
Mailing address
8425 NORTHCLIFFE BLVD, SUITE 108, SPRING HILL, FL 34606-1107
(352) 684-8960
(352) 684-8986
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME48739
FL
Other
Enumeration date
06/04/2008
Last updated
06/25/2008
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