Organization
MOHAN L GUPTA MD PA
Active
Other names
Americare Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAN L GUPTA MD (PRES)
(954) 742-0112
Entity
Organization
Contact information
Practice address
8384 W OAKLAND PARK BLVD, SUNRISE, FL 33351-7372
(954) 742-0112
(954) 746-8202
Mailing address
8396 WEST OAKLAND PARK BLVD, SUNRISE, FL 33351-7372
(954) 742-0112
(954) 746-8202
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252966100
—
FL
Enumeration date
05/04/2006
Last updated
12/07/2020
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