NPI 1962636217 · live from the CMS NPI Registry
A Gupta MD PA
Family Medicine in Lake Mary, FL. National Provider Identifier 1962636217, active.
NPI record
| NPI | 1962636217 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 3300 W Lake Mary Blvd, Lake Mary, FL 32746 |
| Practice phone | 407-321-7111 |
| Enumerated | May 14, 2009 |
| Last updated | May 14, 2009 |
| Authorized official | Anita Gupta, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | ME0073977 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.