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 102, SPRING HILL, FL 34606-1107
(352) 683-1921
(352) 683-4013
Mailing address
8425 NORTHCLIFFE BLVD, SUITE 102, SPRING HILL, FL 34606-1107
(352) 683-1921
(352) 683-4013
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME46895
FL
Other
Enumeration date
06/04/2008
Last updated
06/25/2008
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