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Organization

SPORTS AND ORTHOPEDIC CENTER PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MANISH GUPTA MD (OWNER)
(954) 481-9942
Entity
Organization

Contact information

Practice address
9325 GLADES RD STE 205, BOCA RATON, FL 33434-3988
(954) 481-9942
(954) 481-9917
Mailing address
2001 W SAMPLE RD, SUITE 322, DEERFIELD BEACH, FL 33064-1342
(954) 481-9942
(954) 481-9917

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
FL

Other

Enumeration date
04/14/2016
Last updated
05/15/2024
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