Mid-Florida Primary Care PA
NPI #1235328592 in Summerfield, Florida
Provider Information
- NPI Number
- 1235328592
- Entity Type
- Organization
- Organization Name
- Mid-Florida Primary Care PA
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Oct 23, 2007
- Last Updated
- Jun 18, 2008
Practice Location
- Address
- 17809 SE 109TH AVE
- Address 2
- MID-FLORIDA PRIMARY CARE PA
- City
- Summerfield
- State
- Florida
- ZIP Code
- 34491-8912
- Phone
- (352) 307-4200
Authorized Official
- Name
- RAVI P GUPTA, MD
- Title
- PRESIDENT
- Phone
- (352) 728-4242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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