A Gupta MD PA

NPI #1962636217 in Lake Mary, Florida

Provider Information

NPI Number: 1962636217
Entity Type: Organization
Organization Name: A Gupta MD PA
Primary Specialty: Family Medicine
Enumeration Date: May 14, 2009
Last Updated: May 14, 2009

Practice Location

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

Authorized Official

Name: DR. ANITA GUPTA, MD
Title: PRESIDENT
Phone: (407) 321-7111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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