MID-FLORIDA PRIMARY CARE PA NPI 1235328592

NPI Information

  • NPI: 1235328592
  • Provider Name: MID-FLORIDA PRIMARY CARE PA
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Address: 17809 SE 109TH AVE
    MID-FLORIDA PRIMARY CARE PA
    SUMMERFIELD, FL
    ZIP 34491
  • Phone: (352) 307-4200

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NPI Details

MID-FLORIDA PRIMARY CARE PA is an internal medicine in Summerfield, FL. The provider is 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. MID-FLORIDA PRIMARY CARE PA NPI is 1235328592. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17809 SE 109TH AVE
MID-FLORIDA PRIMARY CARE PA
SUMMERFIELD, FL
ZIP 34491-912
Phone: (352) 307-4200
Fax: (352) 307-2520

The provider's authorized official is Ravi P Gupta .
The authorized official title is President and has the following contact phone number (352) 728-4242.

The enumeration date for this NPI number is 10/23/2007 and was last updated on 6/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K3761MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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