Individual
DR. VIPIN GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5340 N FEDERAL HWY STE 110, LIGHTHOUSE POINT, FL 33064-7058
(954) 428-2480
(954) 428-2904
Mailing address
5340 N FEDERAL HWY STE 110, LIGHTHOUSE POINT, FL 33064-7058
(954) 428-2480
(954) 428-2904
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD 425480
PA
207RG0100X
Gastroenterology Physician
Primary
ME 89279
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021692900001
—
PA
05
—
272763300
—
FL
Enumeration date
10/03/2006
Last updated
10/25/2021
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