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1588727168
MID-FLORIDA MEDICAL GROUP PA
LADY LAKE, FL
NPI
1588727168
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Entity Type
Organization
Authorized Contact
THUMATI GURAPPA JAGALUR
President
352-751-5055
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2006-12-18
Last Update Date
2008-03-21
Business Address
MID-FLORIDA MEDICAL GROUP PA
910 OLD CAMP RD BLDG 150 SUITE 154
LADY LAKE, FL 32162-5603
Phone number: 352-751-5055
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Mailing Address
MID-FLORIDA MEDICAL GROUP PA
PO BOX 218
OCALA, FL 34478-0218
Phone number: 352-751-5055
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