| Ridge Manor Family Medicine,llc | |
|
31158 Cortez Blvd Brooksville FL 34602-7552 | |
| (352) 796-5303 | |
| (352) 796-5304 |
| Full Name | Ridge Manor Family Medicine,llc |
|---|---|
| Speciality | Family Medicine |
| Location | 31158 Cortez Blvd, Brooksville, Florida |
| Authorized Official Name and Position | Mark D Bowden (PHYSICIAN/OWNER) |
| Authorized Official Contact | 3527965303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridge Manor Family Medicine,llc 31158 Cortez Blvd Brooksville FL 34602-7552 Ph: (352) 796-5303 | Ridge Manor Family Medicine,llc 31158 Cortez Blvd Brooksville FL 34602-7552 Ph: (352) 796-5303 |
| NPI Number | 1013025022 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013025022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS6302 (Florida) | Primary |
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