MID-FLORIDA PRIMARY CARE PA


Address: 17809 Se 109th Ave, Mid-florida Primary Care Pa, Summerfield, FL 34491-8912
Phone: 3523074200

MID-FLORIDA PRIMARY CARE PA (NPI# 1235328592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235328592
Entity Type Organization
Organization Name MID-FLORIDA PRIMARY CARE PA
Practice Address 17809 Se 109th Ave
Mid-florida Primary Care Pa
Summerfield
FL 34491-8912
Mailing Address 401 North Blvd W
Leesburg
FL 34748-5044
Practice Telephone 3523074200
Practice Fax Number 3523072520
Mailing Telephone 3527284242
Mailing Fax Number 3527284868
Enumeration Date 2007-10-23
Last Update Date 2008-06-18
Authorized Official Name RAVI P GUPTA (PRESIDENT)
Authorized Official Telephone 3527284242
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1104251370 Mid-florida Primary Care Pa Internal Medicine 501 North Blvd West, Leesburg, FL 34748 2013-09-06

Office Location

Street Address 17809 SE 109TH AVE
MID-FLORIDA PRIMARY CARE PA
City SUMMERFIELD
State FL
Zip Code 34491-8912

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487888764 Central Florida Express Care Emergency Medical Technician, Basic 17809 Se 109th Ave, Summerfield, FL 34491-8912 2009-05-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194282947 Marlen D Ohair Religious Nonmedical Nursing Personnel 3424 Se 14th Pl, Summerfield, FL 34491 2019-02-28
1992262851 Arms of Jesus Adult Companion 3424 Se 146th Pl, Summerfield, FL 34491 2019-02-27
1396230504 Ashley Ellis Davis Nurse Practitioner 17823 Se 109th Ave, Suite 108, Summerfield, FL 34491 2018-06-29
1215429220 Redeemed Hearts Inc In Home Supportive Care 14380 Se 61 Ave, Summerfield, FL 34491 2018-06-05
1336649649 Michelle Wojciechowski Nurse Practitioner 15061 Se 103rd Ave, Summerfield, FL 34491 2018-02-14
1710406228 Sasha Saidi Pain Medicine 16810 South Highway 441, Suite 502, Summerfield, FL 34491 2017-09-15
1598282915 Acupuncture Wellness LLC Acupuncturist 15151 S. Hwy 441, Suite 100, Summerfield, FL 34491 2017-08-25
1699137489 Lindsey Mckay Registered Nurse 14510 Se 91 St Terrace, Summerfield, FL 34491 2016-03-22
1295114791 Michael Anthony Shamat Chiropractor 15151 Hwy 441, Summerfield, FL 34491 2015-05-29
1952711038 John Wiley Occupational Therapist 15600 S. U.S. Hwy 441, B, Summerfield, FL 34491 2014-04-29
Find all providers in zip 34491

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215302385 My Better Health and Wellness Co. Internal Medicine 11296 Se Highway 42, Summerfield, FL 34491-8635 2015-12-01
1003162082 David P. Ward Internal Medicine 7496 William Bailey Rd, Summerfield, NC 27358-9544 2012-07-27
1700073582 Medical Healing Arts Center,llc Internal Medicine 17820 Se 109th Ave Ste 104, Summerfield, FL 34491-8968 2007-09-26
1265475982 Lauro Garcia Lapuz Internal Medicine 10250 Se 167th Place Road, Suite 5, Summerfield, FL 34491 2006-06-13
1922079508 Shahbaz Ali Cheema Internal Medicine 10250 Se 167th Place Rd, Suite 5, Summerfield, FL 34491-8686 2006-01-31
1972856516 The Village Physician LLC Internal Medicine 10435 Se 170th Pl, Summerfield, FL 34491-8998 2012-10-19
1629348966 Sara Ines Gitte Internal Medicine 10250 Se 167th Place Rd, Suite 5, Summerfield, FL 34491-8682 2012-01-04
1275856064 Heart Doctors of Ocala LLC Internal Medicine 10435 Se 170th Pl, Summerfield, FL 34491-8998 2010-03-08
1922235506 Gloria Mariana Hernandez Internal Medicine 10250 Se 167th Place Rd, Suite 5-1, Summerfield, FL 34491-8682 2009-06-22
1841484979 Lakeview Healthcare System, LLC Internal Medicine 10250 Se 167th Place Road, Suite 5, Summerfield, FL 34491-8632 2007-08-31
Find all providers in SUMMERFIELD

Competitor

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City SUMMERFIELD
Zip Code 34491

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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