Mid-Florida Medical Group Pa

LBN: Mid-Florida Medical Group Pa
Mid-Florida Medical Group Pa is an health care organization with primary practice located at 910 Old Camp Rd Bldg 150 Suite 154, Lady Lake FL 32162-5603. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Mid-Florida Medical Group Pa can be contacted via phone (352) 751-5055, or through Jagalur, Thumati Gurappa via phone (352) 751-5055.

Contact Information

Primary practice address
910 Old Camp Rd Bldg 150 Suite 154 Lady Lake FL 32162-5603
Phone: (352) 751-5055
Fax: (352) 751-5056
Website:
Map and Directions
Authorized official contact:
Name: Jagalur, Thumati Gurappa Doctor of Medicine (MD)
Phone: (352) 751-5055

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1588727168
LBN Legal business name Mid-Florida Medical Group Pa
DBA Doing business as
Authorized official Jagalur, Thumati Gurappa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Mar 21st, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588727168 NPPES
Florida Other 31587 BCBS
Florida Other DA7068 BCBS

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