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MID-FLORIDA PRIMARY CARE PA
NPI 1104251370
Internal Medicine in Leesburg, FL

Active since September 06, 2013CLIA Certified · 2 labs
501 NORTH BLVD WEST, LEESBURG, FL 34748(352) 431-3743(352) 431-3745 Get Directions Write a Review

NPPES record last updated: September 6, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mid-florida Primary Care Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID-FLORIDA PRIMARY CARE PA (NPI 1104251370) is a healthcare organization registered as an internal medicine in Leesburg, Florida and active in the NPI registry since September 2013. The organization holds 2 active CLIA laboratory certificates and lists Ravi P Gupta, Owner, as its authorized official.

NPPES Registry Identity

NPI1104251370
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMID-FLORIDA PRIMARY CARE PA
Location Address501 NORTH BLVD WESTLeesburg, FL 34748
Mailing Address501 North Blvd WestLeesburg, FL 34748 · (352) 431-3743 · Fax (352) 431-3745
Phone(352) 431-3743
Fax(352) 431-3745
Organization SubpartNo
Authorized OfficialRavi P GuptaOwner · (352) 728-4242
Enumeration DateSeptember 6, 2013
✔ NPI 1104251370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
501 NORTH BLVD WEST, Leesburg, FL 34748
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1080942

Mid Florida Primary Care · Summerfield, FL
Active · expires Mar 5, 2028
CLIA Number10D1080942
Laboratory TypePhysician Office
Certificate Effective DateMarch 6, 2026
Certificate Expiration DateMarch 5, 2028
Laboratory DirectorRavi P. Gupta MD
Laboratory Phone(352) 728-4242
Laboratory LocationMid Florida Primary Care17809 SE 109th Ave, Summerfield, FL 34491
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0998398

Mid Florida Primary Care PA · Leesburg, FL
Active · expires Dec 28, 2027
CLIA Number10D0998398
Laboratory TypePhysician Office
Certificate Effective DateDecember 29, 2025
Certificate Expiration DateDecember 28, 2027
Laboratory DirectorRavi P. Gupta
Laboratory Phone(352) 728-4242
Laboratory LocationMid Florida Primary Care PA401 N Blvd W, Leesburg, FL 34748
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mid-Florida Primary Care PA's NPI number?

The NPI number for Mid-Florida Primary Care PA is 1104251370. It was assigned to this organization in the NPPES registry on September 6, 2013.

Where is Mid-Florida Primary Care PA located?

Mid-Florida Primary Care PA is located at 501 North Blvd West, Leesburg, FL 34748. The listed phone number is (352) 431-3743.

What is Mid-Florida Primary Care PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Mid-Florida Primary Care PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Mid-Florida Primary Care PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Mid-Florida Primary Care PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mid-Florida Primary Care PA was last updated on September 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.