Individual
AMOL K GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
345 CLYDE MORRIS BLVD, SUITE 390, ORMOND BEACH, FL 32174-3111
(386) 673-0075
(386) 673-0049
Mailing address
345 CLYDE MORRIS BLVD, SUITE 390, ORMOND BEACH, FL 32174-3111
(386) 673-0075
(386) 673-0049
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME97749
FL
Other
Enumeration date
05/23/2007
Last updated
04/10/2008
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