Organization
SPORTS AND ORTHOPEDIC CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANISH K GUPTA MD (OWNER)
(954) 481-9942
Entity
Organization
Contact information
Practice address
3428 N ROOSEVELT BLVD, KEY WEST, FL 33040-4224
(561) 314-7200
(561) 314-7201
Mailing address
2001 W SAMPLE ROAD, 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
—
—
Other
Enumeration date
11/25/2019
Last updated
05/15/2024
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