HINA T GUPTA, M.D.
Medical Practice at Sample Rd, Pompano Beach, FL

License number
Florida ME113564
Category
Medical Practice
Type
Otolaryngology
Address
Address
601 E Sample Rd SUITE 105, Pompano Beach, FL 33064
Phone
(954) 773-2383
(754) 220-6587 (Fax)
National Provider ID: 1659580066
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about HINA T GUPTA at bizstanding.com

HINA T. GUPTA, M.D., PA

5511 N University Dr SUITE 101 B, Pompano Beach, FL 33067

Registration:
Nov 1, 2013
State ID:
P13000089591
Business type:
Florida Profit Corporation
President:
Hina T Gupta (President), 5511 N University Dr SUITE 101 B, Pompano Beach, FL 33067 (Physical)
Agent:
Paul J. Lane, Esq. Pa,7880 N University Dr SUITE 200, Fort Lauderdale, FL 33321 (Physical)
EIN:
APPLIED FOR

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