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

Ridge Manor Family Clinic Inc

Organization General Practice Physician · NPI 1730577115

Ridge Manor Family Clinic Inc is a General Practice Physician in Brooksville, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12204 Cortez Blvd
Brooksville, FL 34613-2630
Phone: (352) 799-3449
Fax: (352) 799-3214
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ME0070951 (FL)

Record details

NPI number1730577115
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gopal Korupolu — Physician/Owner · (352) 799-3449
NPI enumeratedJanuary 7, 2015
Last updated in NPPESFebruary 10, 2015
Mailing addressPo Box 15781, Brooksville, FL 34604-0124

Other providers in Brooksville