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Organization
CENTRAL FLORIDA EXPRESS CARE
Active
Organization
CENTRAL FLORIDA EXPRESS CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVI P GUPTA M. D. (MEDICA DIRECTOR)
(352) 693-2333
Entity
Organization
Contact information
Practice address
17809 SE 109TH AVE, SUMMERFIELD, FL 34491-8912
(352) 693-2333
(352) 693-2334
Mailing address
17809 SE 109TH AVE, SUMMERFIELD, FL 34491-8912
(352) 693-2333
(352) 693-2334
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
ME99270
FL
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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