Organization
MID-FLORIDA PRIMARY CARE
Active
Parent organization
MID-FLORIDA PRIMARY CARE
Other names
The Center of Sleep Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
MID-FLORIDA PRIMARY CARE
Authorized official
DR. RAVI P GUPTA M.D. (OWNER/PRESIDENT)
(352) 728-4242
Entity
Organization
Contact information
Practice address
8525 US HIGHWAY 441, LEESBURG, FL 34788-4021
(352) 460-0922
(352) 398-4699
Mailing address
401 NORTH BLVD W, LEESBURG, FL 34748-5044
(352) 728-4242
(352) 728-8030
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
HCC7913
FL
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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