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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

NPI # 1104251370
LBN Legal business name MID-FLORIDA PRIMARY CARE PA
Authorized official RAVI GUPTA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/06/2013
Last updated 09/06/2013 - About 13 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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