Individual
DR. JYOTI RANI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1925 MIZELL AVE STE 302, WINTER PARK, FL 32792-4155
(407) 629-4305
(407) 740-5089
Mailing address
1925 MIZELL AVE STE 302, WINTER PARK, FL 32792-4155
(407) 629-4305
(407) 740-5089
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME 109796
FL
207W00000X
Ophthalmology Physician
ME109796
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003148905A
—
GA
05
—
003923300
—
FL
Enumeration date
06/04/2010
Last updated
11/03/2023
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