Individual
MRS. ANITA GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3300 W LAKE MARY BLVD, SUITE 220, LAKE MARY, FL 32746-3570
(407) 321-7111
(407) 321-7446
Mailing address
3300 W LAKE MARY BLVD, SUITE 220, LAKE MARY, FL 32746-3570
(407) 321-7111
(407) 321-7446
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0073977
FL
Other
Enumeration date
11/11/2005
Last updated
05/13/2014
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