Organization
CORNERSTONE MEDICAL GROUP LLC
Active
Other names
Cosmopolitan Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CANDACE LEWIS-SHASHIKARSHE (GROWTH & RISK MANAGEMENT DIRECTOR)
(352) 597-7315
Entity
Organization
Contact information
Practice address
13111 SPRING HILL DR, SPRING HILL, FL 34609-5052
(352) 597-7315
Mailing address
PO BOX 10508, BROOKSVILLE, FL 34603-0508
(352) 597-7315
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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