A GUPTA MD PA

NPI 1962636217 Active Family Medicine

Quick Facts

NPI Number

1962636217

Type

Organization (NPI-2)

Status

Active

Enumeration Date

2009-05-14

Last Updated (NPPES)

2009-05-14

Primary Specialty / Taxonomy

Taxonomy	Family Medicine
Taxonomy Code	`207Q00000X`
License	ME0073977 FL

Practice Address

3300 W LAKE MARY BLVD
LAKE MARY, FL 327463570

Phone: 407-321-7111

Fax: 407-321-7446

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