Individual
SHAILESH K GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 W SAMPLE RD STE 320, DEERFIELD BEACH, FL 33064-1346
(561) 322-3588
(754) 812-5993
Mailing address
2001 W SAMPLE RD STE 320, DEERFIELD BEACH, FL 33064-1346
(561) 322-3588
(754) 812-5993
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME81086
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
ME81086
FL
Other
Enumeration date
02/03/2006
Last updated
03/27/2024
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