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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 (PRESIDENT)
(352) 728-4242
Entity
Organization
Contact information
Practice address
17809 SE 109TH AVE, MID-FLORIDA PRIMARY CARE PA, SUMMERFIELD, FL 34491-8912
(352) 307-4200
(352) 307-2520
Mailing address
401 NORTH BLVD W, LEESBURG, FL 34748-5044
(352) 728-4242
(352) 728-4868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/23/2007
Last updated
06/18/2008
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