Individual
DR. ANAND S GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2535 UNIVERSITY BLVD W, JACKSONVILLE, FL 32217-2003
(904) 367-8686
(904) 367-0211
Mailing address
2535 UNIVERSITY BLVD W, JACKSONVILLE, FL 32217-2003
(904) 874-8282
(904) 367-0211
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME067766
FL
208600000X
Surgery Physician
Primary
ME67766
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518946888
NATIONAL PROVIDER IDENTIFIER NPI
FL
Enumeration date
01/13/2006
Last updated
07/10/2020
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