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Contact Information

MID-FLORIDA PRIMARY CARE PA
501 NORTH BLVD WEST
LEESBURG, FL34748
 Phone: 352-431-3743
 Fax: 352-431-3745
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MID FLORIDA PRIMARY CARE PA · (Female)

NPI # 1104251370
Status Active
Credentials
Entity Individual
Enumeration date 09/06/2013
Last updated 09/06/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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