Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Good Shepherd Medical Clinic PA

Organization Cardiovascular Disease Physician · NPI 1316180409

Good Shepherd Medical Clinic PA is a Cardiovascular Disease Physician in Brooksville, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11373 Cortez Blvd Ste 209
Brooksville, FL 34613-5414
Phone: (352) 596-4027
Fax: (352) 597-9727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence ME0048810 (FL)

Record details

NPI number1316180409
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGood Shepherd Medical Clinic PA
Authorized official Roger Lee — President · (352) 686-5023
NPI enumeratedApril 20, 2009
Last updated in NPPESApril 20, 2009
Mailing address11373 Cortez Blvd, Suite 209, Brooksville, FL 34613-5414

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