Mid-Florida Primary Care PA

NPI #1104251370 in Leesburg, Florida

Provider Information

NPI Number: 1104251370
Entity Type: Organization
Organization Name: Mid-Florida Primary Care PA
Primary Specialty: Internal Medicine
Enumeration Date: Sep 6, 2013
Last Updated: Sep 6, 2013

Practice Location

Address: 501 NORTH BLVD WEST
City: Leesburg
State: Florida
ZIP Code: 34748
Phone: (352) 431-3743

Authorized Official

Name: RAVI P GUPTA, MD
Title: OWNER
Phone: (352) 728-4242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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