LARGO PHYSICIAN GROUP, LLC
NPI 1578732889
Pediatrics in Brooksville, FL

Active since February 21, 2008
11373 CORTEZ BLVD STE 408, BROOKSVILLE, FL 34613(352) 592-7310 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 21, 2020, May 18, 2016 (2 updates tracked since 2016).

About Largo Physician Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARGO PHYSICIAN GROUP, LLC (NPI 1578732889) is a healthcare organization registered as a pediatrics in Brooksville, Florida and active in the NPI registry since February 2008. The organization lists William Tedrick Johnson, Division Vp/ao, as its authorized official.

NPPES Registry Identity

NPI1578732889
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLARGO PHYSICIAN GROUP, LLC
Location Address11373 CORTEZ BLVD STE 408Brooksville, FL 34613-5406
Mailing Address2000 Health Park DrBrentwood, TN 37027-4525 · (615) 373-7600 · Fax (866) 346-1426
Organization SubpartNo
Authorized OfficialWilliam Tedrick JohnsonDivision Vp/ao · (615) 372-3375
Enumeration DateFebruary 21, 2008
Last NPPES UpdateOctober 21, 20202 updates tracked since enumeration
NPPES CertifiedOctober 21, 2020
NPI 1578732889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician 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.
11373 CORTEZ BLVD STE 408, Brooksville, FL 34613

Other Identifiers 7

Other000757301FL · Medicaid-walsingham Location
Other72062AFL · Bcbs Fl-walsingham
Other000757300FL · Medicaid --indian Rocks Location
Other72062FL · Bcbs Fl--indian Rocks
Other000757303FL · Medicaid-bardmoor Location
Other76062CFL · Bcbs Fl-- Bardmoor
Other72062BFL · Bcbs Fl--38th Ave N.

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
11373 CORTEZ BLVD STE 408
BROOKSVILLE, FL 34613
Otolaryngology
11373 CORTEZ BLVD STE 408
BROOKSVILLE, FL 34613

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Largo Physician Group, LLC's NPI number?

The NPI number for Largo Physician Group, LLC is 1578732889. It was assigned to this organization in the NPPES registry on February 21, 2008.

Where is Largo Physician Group, LLC located?

Largo Physician Group, LLC is located at 11373 Cortez Blvd Ste 408, Brooksville, FL 34613. The listed phone number is (352) 592-7310.

What is Largo Physician Group, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Largo Physician Group, LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Largo Physician Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Largo Physician Group, LLC was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.