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MULBERRY MEDICAL GROUP PA
NPI 1417132465
Clinic/Center - Primary Care in The Villages, FL

Active since January 08, 2008
8489 SE 165TH MULBERRY LN, THE VILLAGES, FL 32162(352) 259-7900(352) 259-7966 Get Directions Write a Review

NPPES record last updated: August 23, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mulberry Medical Group Pa NPPES

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

MULBERRY MEDICAL GROUP PA (NPI 1417132465) is a healthcare organization registered as a primary care in The Villages, Florida and active in the NPI registry since January 2008. The organization lists Guillermo B Avecilla, President, as its authorized official.

NPPES Registry Identity

NPI1417132465
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMULBERRY MEDICAL GROUP PA
Location Address8489 SE 165TH MULBERRY LNThe Villages, FL 32162-5847
Mailing AddressPo Box 587Oxford, FL 34484-0587 · (352) 259-7900 · Fax (352) 259-7966
Phone(352) 259-7900
Fax(352) 259-7966
Organization SubpartNo
Authorized OfficialGuillermo B AvecillaPresident · (352) 259-7900
Enumeration DateJanuary 8, 2008
Last NPPES UpdateAugust 23, 2010
✔ NPI 1417132465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in FL · ME80865
8489 SE 165TH MULBERRY LN, The Villages, FL 32162
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Other Identifiers 1

Medicare PINK4225FL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

441 URGENT CARE CENTER, LLC
Clinic/Center (Urgent Care)
8489 SE 165TH MULBERRY LN
THE VILLAGES, FL 32162
Sumter County (352) 693-2340

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 Mulberry Medical Group PA's NPI number?

The NPI number for Mulberry Medical Group PA is 1417132465. It was assigned to this organization in the NPPES registry on January 8, 2008.

Where is Mulberry Medical Group PA located?

Mulberry Medical Group PA is located at 8489 SE 165th Mulberry Ln, The Villages, FL 32162. The listed phone number is (352) 259-7900.

What is Mulberry Medical Group PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Mulberry Medical Group PA was last updated on August 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.