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General NPI Number Information
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NPI Number | 1588727168
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Entity Type | Organization
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Legal Business Name | MID-FLORIDA MEDICAL GROUP PA
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 03/21/2008
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Provider Practice Location Address
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Address Line | 910 OLD CAMP RD BLDG 150 SUITE 154
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City | LADY LAKE
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State | FL
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Zip | 32162-5603
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Country | US
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Telephone | 352-751-5055
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Fax | 352-751-5056
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Provider Business Mailing Address
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Address Line | PO BOX 218
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City | OCALA
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State | FL
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Zip | 34478-0218
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Country | US
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Telephone | 352-751-5055
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Fax | 352-751-5056
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THUMATI GURAPPA JAGALUR
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Credential | M.D.
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Telephone | 352-751-5055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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