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MITTA PRIMARY CARE NPI 1346655040


NPI Information

NPI: 1346655040
Provider Name: MITTA PRIMARY CARE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D2095062

Address:
9401 SW HIGHWAY 200
BUILDING 700, SUITE 701
OCALA, FL
ZIP 34481
Phone: (352) 873-0501
Get Directions

MITTA PRIMARY CARE is a family medicine in Ocala, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MITTA PRIMARY CARE NPI is 1346655040. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9401 SW HIGHWAY 200
BUILDING 700, SUITE 701
OCALA, FL
ZIP 34481-612
Phone: (352) 873-0501
Fax: (352) 873-0502

The provider's authorized official is Walter Mitta .
The authorized official title is Internal Medicine and has the following contact phone number (352) 873-0501.

The CLIA number assigned to this NPI record is 10D2095062 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2014 and was last updated on 9/12/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineME95726FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I64852MEDICARE UPINFLORIDA
2277425900MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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