Individual
DR. ANJALI GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
937 N SPRING GARDEN AVE, DELAND, FL 32720-2560
(386) 736-1948
(386) 736-2784
Mailing address
PO BOX 9671, DAYTONA BEACH, FL 32120-9671
(386) 676-7130
(386) 676-7125
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME87066
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001708400
—
FL
01
—
14C81
BCBS
FL
01
—
1881852853
TRICARE
FL
01
—
5299305
CIGNA
FL
01
—
9756673
AETNA
FL
Enumeration date
05/27/2008
Last updated
02/12/2014
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