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Organization
MID-FLORIDA PRIMARY CARE PA
Active
Organization
MID-FLORIDA PRIMARY CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVI P GUPTA MD (OWNER)
(352) 728-4242
Entity
Organization
Contact information
Practice address
501 NORTH BLVD WEST, LEESBURG, FL 34748
(352) 431-3743
(352) 431-3745
Mailing address
501 NORTH BLVD WEST, LEESBURG, FL 34748
(352) 431-3743
(352) 431-3745
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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