Individual
AASHISH P GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
699 W COCOA BEACH CSWY, COCOA BEACH, FL 32931-3577
(321) 549-0815
(321) 768-0039
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 549-0815
(321) 951-7408
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME141203
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103358500
—
FL
01
—
LN340
MEDICARE
FL
Enumeration date
04/08/2011
Last updated
01/02/2025
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