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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 M.D. (PRESIDENT)
(352) 728-4242
Entity
Organization
Contact information
Practice address
401 NORTH BLVD W, LEESBURG, FL 34748-5044
(352) 728-4242
(352) 728-4868
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
ME71724
FL
Other
Enumeration date
12/15/2006
Last updated
05/02/2013
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