# 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:** 1578525739
- **Authorized official:** AMITABH P GUPTA MD (PRESIDENT)
- **Authorized official phone:** (727) 526-8000

## Contact information

- **Practice address:** 5800 49TH ST N, SUITE S-205, ST PETERSBURG, FL 33709-2146
- **Practice address phone:** (727) 526-8000
- **Practice address fax:** (727) 521-2600
- **Mailing address:** 5800 49TH ST N, SUITE S-205, ST PETERSBURG, FL 33709-2146
- **Mailing address phone:** (727) 526-8000
- **Mailing address fax:** (727) 521-2600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | ME85225 | FL | Yes |

## Other

- **Enumeration date:** 04/04/2006
- **Last updated:** 12/26/2008