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

Ridge Manor Family Clinic Inc

Organization General Practice Physician · NPI 1730577115

Ridge Manor Family Clinic Inc provides General Practice Physician services 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 Not confirmed with CMS for 11 years — call before visiting
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