Mid Florida Primary Care PA

NPI #1598827479 in Leesburg, Florida

Provider Information

NPI Number: 1598827479
Entity Type: Organization
Organization Name: Mid Florida Primary Care PA
Primary Specialty: Internal Medicine
Enumeration Date: Dec 15, 2006
Last Updated: May 2, 2013

Practice Location

Address: 401 NORTH BLVD W
City: Leesburg
State: Florida
ZIP Code: 34748-5044
Phone: (352) 728-4242

Authorized Official

Name: RAVI P GUPTA, M.D.
Title: PRESIDENT
Phone: (352) 728-4242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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