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1104251370
MID-FLORIDA PRIMARY CARE PA
LEESBURG, FL
NPI
1104251370
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Entity Type
Organization
Authorized Contact
RAVI P GUPTA
Owner
352-728-4242
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2013-09-06
Last Update Date
2013-09-06
Business Address
MID-FLORIDA PRIMARY CARE PA
501 NORTH BLVD WEST
LEESBURG, FL 34748
Phone number: 352-431-3743
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Mailing Address
MID-FLORIDA PRIMARY CARE PA
501 NORTH BLVD WEST
LEESBURG, FL 34748
Phone number: 352-431-3743
Copy
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