Largo Physician Group, Llc
Pediatrics
Largo Physician Group, Llc is a Brooksville, Florida based Pediatric center with medical specialization in
General Pediatrics.
It is located at
11373 Cortez Blvd Ste 408, Brooksville, Florida - 34613-5406. They can be contacted on phone at
352-592-7310.
NPI number (Unique professional ID) for Largo Physician Group, Llc is
1578732889 which was assigned by NPPES on 21 Feb, 2008 and it was last updated on 21 Oct, 2020.
Largo Physician Group, Llc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Largo Physician Group, Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Largo Physician Group, Llc |
|---|
Business Address:
Largo Physician Group, Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 11373 Cortez Blvd Ste 408
Brooksville, FL, 34613-5406
United States |
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| Phone Number : | 352-592-7310 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1578732889 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 21 Feb, 2008 |
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| Last Updated On : | 21 Oct, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Williamtedrick Johnson |
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| Official Title or Position : | DIVISION VP/AO |
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| Phone Number : | 615-372-3375 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Largo Physician Group, Llc are as mentioned. Primary taxonomy code for Largo Physician Group, Llc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Largo Physician Group, Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000757301 | Other | FL | MEDICAID-WALSINGHAM LOCATION |
| 72062A | Other | FL | BCBS FL-WALSINGHAM |
| 000757300 | Other | FL | MEDICAID --INDIAN ROCKS LOCATION |
| 72062 | Other | FL | BCBS FL--INDIAN ROCKS |
| 000757303 | Other | FL | MEDICAID-BARDMOOR LOCATION |
| 76062C | Other | FL | BCBS FL-- BARDMOOR |
| 72062B | Other | FL | BCBS FL--38TH AVE N. |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2000 Health Park Dr
Brentwood, TN, 37027-4525
United States |
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| Phone Number : | 615-373-7600 |
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| Fax Number : | 866-346-1426 |
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Business Location:
Patients can refer following map for directions to
Largo Physician Group, Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.