# CENTRAL FLORIDA EXPRESS CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487888764
- **Authorized official:** DR. RAVI P GUPTA M. D. (MEDICA DIRECTOR)
- **Authorized official phone:** (352) 693-2333

## Contact information

- **Practice address:** 17809 SE 109TH AVE, SUMMERFIELD, FL 34491-8912
- **Practice address phone:** (352) 693-2333
- **Practice address fax:** (352) 693-2334
- **Mailing address:** 17809 SE 109TH AVE, SUMMERFIELD, FL 34491-8912
- **Mailing address phone:** (352) 693-2333
- **Mailing address fax:** (352) 693-2334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146N00000X | Basic Emergency Medical Technician | ME99270 | FL | Yes |

## Other

- **Enumeration date:** 05/14/2009
- **Last updated:** 05/14/2009