Mid Florida Primary Care PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME71724 Issued in FL

Legal business name

MID FLORIDA PRIMARY CARE PA

Practice address

401 North Blvd W
Leesburg, FL 34748-5044

Phone

(352) 728-4242

Fax

(352) 728-4868

NPI assigned

Dec 15, 2006

Last updated

May 2, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ravi P Gupta, M.D.NPI 1922077338

Title

President

Phone

(352) 728-4242

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mid-Florida Primary Care PA

  • Internal Medicine Physician
  • Leesburg, FL
  • NPI 1104251370

  O20070827000712

  Same enrollment
• Mid-Florida Primary Care PA

  • Internal Medicine Physician
  • Summerfield, FL
  • NPI 1235328592

  O20070827000712

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ravi P Gupta, M.D.

  • Internal Medicine Physician
  • Leesburg, FL
  • NPI 1922077338
  Medicare reassignment Care Compare group Authorized official
• Jennifer Aldamuy, APRN

  • Gerontology Nurse Practitioner
  • Leesburg, FL
  • NPI 1508441890
  Medicare reassignment Care Compare group NPD
• Joan L Nardeo, NP

  • Primary Care Nurse Practitioner
  • Kissimmee, FL
  • NPI 1821788209
  Medicare reassignment Care Compare group NPD
• Shannan L Veit, FNP-BC

  • Family Nurse Practitioner
  • Leesburg, FL
  • NPI 1619613437
  Medicare reassignment Care Compare group NPD
• Dharma Deekshita Lakshman Rao, FNP

  • Family Nurse Practitioner
  • Leesburg, FL
  • NPI 1144785882
  Medicare reassignment Care Compare group
• Lino Ramirez, PA-C

  • Physician Assistant
  • Pharr, TX
  • NPI 1730903790

  FL

  Medicare reassignment Care Compare group
• Stephen Mark Ross, MD,PHD

  • Vascular & Interventional Radiology Physician
  • Englewood, FL
  • NPI 1194700823
  Medicare reassignment NPD
• Yun Mi Sung, APRN

  • Family Nurse Practitioner
  • Winter Garden, FL
  • NPI 1003390014
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1598827479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 NORTH BLVD W",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485044",
            "telephone_number": "352-728-4242",
            "fax_number": "352-728-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NORTH BLVD W",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485044",
            "telephone_number": "352-728-4242",
            "fax_number": "352-728-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID FLORIDA PRIMARY CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "RAVI",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-728-4242",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME71724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Lee Michaud, APRN
• Mid Florida Cardiovascular Anesthesia Associates PA
• Mid Florida Eye Center PA
• Mid Florida Hearing, LLC
• Mid Florida Medical
• Mid-Florida Pathology
• Mid-Florida Primary Care (The Center of Sleep Medicine)
• Mid-Florida Primary Care PA
• Marwan Mihyu, M.D.
• Brooklyn Charity Miller

• Internal Medicine Physician in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.