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Organization
MITTA PRIMARY CARE
Active
Organization
MITTA PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER MITTA MD (INTERNAL MEDICINE)
(352) 873-0501
Entity
Organization
Contact information
Practice address
9401 SW HIGHWAY 200, BUILDING 700, SUITE 701, OCALA, FL 34481-9612
(352) 873-0501
(352) 873-0502
Mailing address
9401 SW HIGHWAY 200, BUILDING 700, SUITE 701, OCALA, FL 34481-9612
(352) 873-0501
(352) 873-0502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME95726
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277425900
—
FL
Enumeration date
06/23/2014
Last updated
09/12/2014
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