Organization
SUNIL GUPTA MD LLC
Active
Other names
Retina Specialty Institute
Organization subpart
No
Provider details
NPI number
Authorized official
SUNIL GUPTA MD (MANAGING PARTNER)
(850) 476-6759
Entity
Organization
Contact information
Practice address
30169 WOODROW LN STE B, DAPHNE, AL 36527-7641
(850) 476-6759
(850) 484-5222
Mailing address
5150 N DAVIS HWY, PENSACOLA, FL 32503-2030
(850) 476-6759
(850) 484-5222
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
—
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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