Ridge Manor Family Clinic Inc

LBN: Ridge Manor Family Clinic Inc
Ridge Manor Family Clinic Inc is an health care organization with primary practice located at 12204 Cortez Blvd , Brooksville FL 34613-2630. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Ridge Manor Family Clinic Inc can be contacted via phone (352) 799-3449, or through Korupolu, Gopal R via phone (352) 799-3449.

Contact Information

Primary practice address
12204 Cortez Blvd Brooksville FL 34613-2630
Phone: (352) 799-3449
Fax: (352) 799-3214
Website:
Map and Directions
Authorized official contact:
Name: Korupolu, Gopal R Doctor of Medicine (MD)
Phone: (352) 799-3449

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME0070951 Florida

Profile Details

NPI number 1730577115
LBN Legal business name Ridge Manor Family Clinic Inc
DBA Doing business as
Authorized official Korupolu, Gopal R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2015
Last updated Feb 10th, 2015 - about 11 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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