Largo Physician Group, Llc

LBN: Largo Physician Group, Llc
Largo Physician Group, Llc is an health care organization with primary practice located at 11373 Cortez Blvd Ste 408 , Brooksville FL 34613-5406. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Largo Physician Group, Llc can be contacted via phone (352) 592-7310, or through Johnson, William Tedrick via phone (615) 372-3375.

Contact Information

Primary practice address
11373 Cortez Blvd Ste 408 Brooksville FL 34613-5406
Phone: (352) 592-7310
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, William Tedrick
Phone: (615) 372-3375

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1578732889
LBN Legal business name Largo Physician Group, Llc
DBA Doing business as
Authorized official Johnson, William Tedrick
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2008
Last updated Oct 21st, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578732889 NPPES
Florida Other 72062A BCBS FL-WALSINGHAM
Florida Other 000757301 BCBS FL-WALSINGHAM
Florida Other 000757303 BCBS FL-WALSINGHAM
Florida Other 72062B BCBS FL-WALSINGHAM
Florida Other 000757300 BCBS FL-WALSINGHAM
Florida Other 72062 BCBS FL-WALSINGHAM
Florida Other 76062C BCBS FL-WALSINGHAM

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