Organization
RONALD S. GUP, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD S GUP MD (PRESIDENT CEO)
(954) 966-9001
Entity
Organization
Contact information
Practice address
4060 SHERIDAN ST, SUITE B, HOLLYWOOD, FL 33021-3559
(954) 966-9001
(954) 985-0456
Mailing address
4060 SHERIDAN ST, SUITE B, HOLLYWOOD, FL 33021-3559
(954) 966-9001
(954) 985-0456
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
44479
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040644901
—
FL
Enumeration date
08/12/2008
Last updated
10/27/2009
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