Individual
ANUBHA GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4343 W. NEWBERRY RD., SUITE 11-12, GAINESVILLE, FL 32607-2817
(352) 372-8202
(352) 375-6888
Mailing address
4881 NW 8TH AVE, SUITE 2, GAINESVILLE, FL 32605-4582
(352) 416-1082
(352) 373-6144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME111329
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005814100
—
FL
01
—
14L0Y
BCBS
FL
Enumeration date
07/10/2008
Last updated
08/19/2021
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