Individual
MANISH K GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9325 GLADES RD, SUITE 205, BOCA RATON, FL 33434-3988
(561) 314-7200
(561) 314-7201
Mailing address
2001 W SAMPLE RD, SUITE 322, DEERFIELD BEACH, FL 33064-1342
(954) 481-9942
(954) 481-9917
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME95180
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56513
BCBS
FL
Enumeration date
09/12/2006
Last updated
05/15/2024
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