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

Mulberry Medical Group PA

Organization Primary Care Clinic/Center · NPI 1417132465

Mulberry Medical Group PA is a Primary Care Clinic/Center in The Villages, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
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

8489 SE 165th Mulberry Ln
The Villages, FL 32162-5847
Phone: (352) 259-7900
Fax: (352) 259-7966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence ME80865 (FL)

Record details

NPI number1417132465
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Guillermo Avecilla — President · (352) 259-7900
NPI enumeratedJanuary 8, 2008
Last updated in NPPESAugust 23, 2010
Mailing addressPo Box 587, Oxford, FL 34484-0587

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