Individual
DR. SHOBHA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3342 N.E. 34TH ST., FORT LAUDERDALE, FL 33308-6906
(954) 583-7287
(954) 583-0535
Mailing address
3342 N.E. 34TH ST., FORT LAUDERDALE, FL 33308-6906
(954) 583-7287
(954) 583-0535
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME36479
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065100100
—
FL
Enumeration date
06/01/2006
Last updated
08/11/2020
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