GOOD SHEPHERD MEDICAL CLINIC PA
Osteopathic Medicine at Northcliffe Blvd, Brooksville, FL

License number
Florida ME0071038
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. ROGER B LEE M.D.
Title: PRESIDENT
Phone: (352) 683-2495
Address
Address
8425 Northcliffe Blvd SUITE 112, Brooksville, FL 34606
National Provider ID: 1336301829
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Good Shepherd Medical Clinic, PA

11329 Cortez Blvd, Brooksville, FL 34613

Status:
Inactive
Industry:
Medical Laboratory Medical Doctor's Office
Doing business as:
Good Shepherd Clinical Lab
Phone:
(352) 596-5052 (Phone)
Medical Doctors:
Roger Lee Vice-President, President, inactive,Brian Robuck President, inactive,Anil Bhatia Medical Doctor, inactive

Good Shepherd Medical Clinic, PA

8425 Northcliffe Blvd, Brooksville, FL 34606

Status:
Inactive
Registration:
Oct 6, 1993
State ID:
P93000070830
Business type:
Domestic for Profit Corporation
Secretarys:
Anil Bhatia President, Vice President, inactive,Roger Lee President, Vice President, inactive,Brian Roebuck Treasurer, inactive,...
Agent:
James W. Case

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