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Organization

GOOD SHEPHERD MEDICAL CLINIC PA

Active
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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) 686-5023
Entity
Organization

Contact information

Practice address
8425 NORTHCLIFFE BLVD, SUITE 105, SPRING HILL, FL 34606-1107
(352) 683-7362
(352) 683-7364
Mailing address
8425 NORTHCLIFFE BLVD, SUITE 105, SPRING HILL, FL 34606-1107
(352) 683-7362
(352) 683-7364

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME78693
FL

Other

Enumeration date
06/04/2008
Last updated
06/25/2008
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