Organization
OCALA HAND CENTER, LLC
Active
Other names
Twin Palm Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIRAV GUPTA D.O. (PRINCIPAL)
(352) 369-1099
Entity
Organization
Contact information
Practice address
2640 SW 32ND PLACE, OCALA, FL 34471-7847
(352) 369-1099
(352) 369-0299
Mailing address
PO BOX 9074, BELFAST, ME 04915-9074
(352) 369-1099
(352) 369-0299
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS9484
FL
207XS0106X
Orthopaedic Hand Surgery Physician
OS9535
FL
213E00000X
Podiatrist
PO3280
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16973
BCBS
FL
01
—
24419
BCBS GROUP
FL
05
—
276069000
—
FL
01
—
56088
BCBS
FL
01
—
DG5713
MEDICARE RR GROUP
FL
01
—
P00442268
MEDICARE RR PTAN
FL
Enumeration date
12/08/2006
Last updated
11/25/2014
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