Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Good Shepherd Medical Clinic PA

Organization Cardiovascular Disease Physician · NPI 1316180409

Good Shepherd Medical Clinic PA provides Cardiovascular Disease Physician services 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 Not confirmed with CMS for 17 years — call before visiting
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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