Individual
TUSHAR GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2776 CLEVELAND AVE, FORT MYERS, FL 33901-5864
(239) 343-6574
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-2606
(239) 343-3695
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M136529
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024967600
—
FL
Enumeration date
03/25/2015
Last updated
03/25/2021
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