Individual
MAYURI P GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5340 N FEDERAL HWY STE 110, LIGHTHOUSE POINT, FL 33064-7058
(954) 425-2480
(954) 428-2904
Mailing address
5340 N FEDERAL HWY STE 110, LIGHTHOUSE POINT, FL 33064-7058
(954) 425-2480
(954) 428-2904
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD429729
PA
207RG0100X
Gastroenterology Physician
Primary
ME 109736
FL
Other
Enumeration date
01/08/2007
Last updated
10/25/2021
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