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 Family Medicine Physician · NPI 1417116575

Good Shepherd Medical Clinic PA provides Family Medicine Physician services 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 Not confirmed with CMS for 18 years — call before visiting
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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