Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mid-Florida Medical Group PA

Organization Internal Medicine Physician · NPI 1588727168

Mid-Florida Medical Group PA is an Internal Medicine Physician in Lady Lake, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

910 Old Camp Rd Bldg 150 Ste 154
Lady Lake, FL 32162-5603
Phone: (352) 751-5055
Fax: (352) 751-5056
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1588727168
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thumati Jagalur — President · (352) 751-5055
NPI enumeratedDecember 18, 2006
Last updated in NPPESMarch 21, 2008
Mailing addressPo Box 218, Ocala, FL 34478-0218

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