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 Family Medicine Physician · NPI 1417116575

Good Shepherd Medical Clinic PA is a Family Medicine Physician in Brooksville, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
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

11329 Cortez Blvd
Brooksville, FL 34613
Phone: (352) 596-5052
Fax: (352) 596-5244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME46566 (FL)

Record details

NPI number1417116575
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGood Shepherd Medical Clinic PA
Authorized official Roger Lee — President · (352) 686-5023
NPI enumeratedJune 4, 2008
Last updated in NPPESJune 25, 2008
Mailing address11329 Cortez Blvd, Brooksville, FL 34613-5407

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