B Rai Gupta MD PA

NPI #1821339755 in Lake Mary, Florida

Provider Information

NPI Number: 1821339755
Entity Type: Organization
Organization Name: B Rai Gupta MD PA
Primary Specialty: Specialist
Enumeration Date: Mar 1, 2013
Last Updated: Mar 14, 2013

Practice Location

Address: 3300 W LAKE MARY BLVD
Address 2: SUITE 220
City: Lake Mary
State: Florida
ZIP Code: 32746-3570
Phone: (407) 321-7111

Authorized Official

Name: MRS. SUSAN L HOLLAND, BSN
Title: BUSINESS ACCOUNT MANAGER
Phone: (407) 321-7111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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