Organization
COMMUNITY HOSPITAL FAMILY PRACTICE LLC
Active
Parent organization
COMMUNITY HOSPITAL FAMILY PRACTICE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HOSPITAL FAMILY PRACTICE LLC
Authorized official
WILLIAM TEDRICK JOHNSON (VICE PRESIDENT)
(615) 372-3375
Entity
Organization
Contact information
Practice address
11371 CORTEZ BLVD STE 115, BROOKSVILLE, FL 34613-5408
(352) 592-0220
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 372-5426
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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