| Doctor Name: | AMIT G GUPTA |
| NPI Number: | 1811903867 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME73273 |
| Business Practice Address: | 1000 W Moreno St Pensacola, FL - 325012316 |
| Business Phone Number: | 8504364951 |
| Business Fax Number: | 8504386767 |
| Mailing Address: | Po Box 622047, ORLANDO |
| State: | FL |
| Postal Code: | 328622047 |
| Phone Number: | 8504364951 |
| Fax Number: | 8504386767 |
| NPI Enumeration Date: | 07/31/2006 |
| NPI Last Update Date: | 07/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | ME73273 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |