Provider profile · NPI 1962636217

A Gupta Md Pa

Family Medicine · Lake Mary, FL · NPI 1962636217 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Family Medicine

Enumerated

May 14, 2009

License(s)

ME0073977 (FL)

Addresses on file

PurposeAddressCity/StatePhone
MAILING3300 W LAKE MARY BLVD Lake Mary, FL 32746-3570407-321-7111
LOCATION3300 W LAKE MARY BLVD Lake Mary, FL 32746-3570407-321-7111

View on NPPES registry ↗

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