A Gupta MD PA
Family Medicine in Lake Mary, FL. Organization (NPI-2).
NPI number1962636217
StatusActive
Last updated in NPPESMay 14, 2009
Details
- NPI
- 1962636217
- Entity type
- Organization (NPI-2)
- Legal business name
- A Gupta MD PA
- Organization subpart
- No
- Enumeration date
- May 14, 2009
- Last updated
- May 14, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME0073977 | FL | Yes |
Practice location
3300 W Lake Mary BlvdLake Mary, FL 32746-3570
Phone 407-321-7111 · Fax 407-321-7446
Mailing address
3300 W Lake Mary BlvdLake Mary, FL 32746-3570
Phone 407-321-7111 · Fax 407-321-7446
Authorized official
Anita Gupta
President
4073217111
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