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Individual

HINA T GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4515 WILES RD STE 201, COCONUT CREEK, FL 33073-3414
(954) 943-1418
(786) 662-3670
Mailing address
15280 NW 79TH CT STE 200, MIAMI LAKES, FL 33016-5873
(305) 558-3724
(786) 907-7485

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME113564
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007743000
FL
Enumeration date
05/22/2007
Last updated
09/21/2022
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