# AMITABH GUPTA MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COASTAL ORTHOPEDIC MEDICINE, PAIN MANAGEMENT & REHAB
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194977066
- **Authorized official:** DR. AMITABH P GUPTA MD (PRESIDENT)
- **Authorized official phone:** (727) 526-8000

## Contact information

- **Practice address:** 7895 SEMINOLE BLVD, SUITE\# 101, SEMINOLE, FL 33772-4891
- **Practice address phone:** (727) 526-8000
- **Mailing address:** 5800 49TH ST N, SUITE S 205, ST PETERSBURG, FL 33709-2146
- **Mailing address phone:** (727) 526-8000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | ME85225 | FL | Yes |

## Other

- **Enumeration date:** 10/22/2008
- **Last updated:** 12/12/2011
