Organization
HINA T GUPTA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HINA T GUPTA MD (OWNER)
(319) 621-8376
Entity
Organization
Contact information
Practice address
601 E SAMPLE RD STE 105, POMPANO BEACH, FL 33064-4443
(954) 773-2383
(954) 783-6845
Mailing address
601 E SAMPLE RD STE 105, POMPANO BEACH, FL 33064-4443
(954) 773-2383
(954) 783-6845
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
10/10/2014
Last updated
10/10/2014
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