Organization
THE GOOD SHEPHERD MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMMER DEMETRIUS (OWNER)
(727) 807-6969
Entity
Organization
Contact information
Practice address
9119 RIDGE RD, SUITE 4, NEW PORT RICHEY, FL 34654-5059
(727) 807-6969
Mailing address
3080 E BAY DR, SUITE 100, LARGO, FL 33771-2692
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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