Individual
MOHIT GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1723 LUCERNE TER STE 100, ORLANDO, FL 32806-2916
(407) 738-4200
Mailing address
1723 LUCERNE TER STE 100, ORLANDO, FL 32806-2916
(407) 738-4200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A109811
CA
207RC0000X
Cardiovascular Disease Physician
Primary
ME120229
FL
208M00000X
Hospitalist Physician
A109811
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012070400
—
FL
01
—
HU952Z
MEDICAL LICENSE
FL
Enumeration date
06/21/2007
Last updated
11/28/2023
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