GOOD SHEPHERD MEDICAL CLINIC PA – NPI #1417116575
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

GOOD SHEPHERD MEDICAL CLINIC PA is a provider located in BROOKSVILLE, FL. NPPES has assigned the NPI number 1417116575 to GOOD SHEPHERD MEDICAL CLINIC PA on June 04, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 18 years ago on Jun 25, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GOOD SHEPHERD MEDICAL CLINIC PA below.

NPI Profile for
GOOD SHEPHERD MEDICAL CLINIC PA

NPI Number
1417116575
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GOOD SHEPHERD MEDICAL CLINIC PA
Primary location
11329 CORTEZ BLVD
BROOKSVILLE, FL 34613
Phone: (352) 596-5052 Fax: (352) 596-5244
Mailing address
Same as primary location
Organization Subpart
Yes - GOOD SHEPHERD MEDICAL CLINIC PA is subpart of another organization.
Authorized Official
ROGER LEE
PRESIDENT
Phone: (352) 686-5023
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
FL ME46566

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.