Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
LARGO PHYSICIAN GROUP, LLC
Active
Organization
LARGO PHYSICIAN GROUP, LLC
Active
Parent organization
LARGO PHYSICIAN GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LARGO PHYSICIAN GROUP, LLC
Authorized official
WILLIAM TEDRICK JOHNSON (VICE PRESIDENT)
(615) 372-3375
Entity
Organization
Contact information
Practice address
11371 CORTEZ BLVD STE 219, BROOKSVILLE, FL 34613-5408
(352) 592-7310
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 372-5426
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up