Organization
A GUPTA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANITA GUPTA MD (PRESIDENT)
(407) 321-7111
Entity
Organization
Contact information
Practice address
3300 W LAKE MARY BLVD, LAKE MARY, FL 32746-3570
(407) 321-7111
(407) 321-7446
Mailing address
3300 W LAKE MARY BLVD, LAKE MARY, FL 32746-3570
(407) 321-7111
(407) 321-7446
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0073977
FL
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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