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Individual

SHREYA GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1070 N STONE ST, DELAND, FL 32720-0919
(386) 943-3175
Mailing address
770 W GRANADA BLVD STE 101, ORMOND BEACH, FL 32174-5179

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO4660
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/24/2022
Last updated
07/16/2025
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