| Amol K Gupta, MD | |
|
345 Clyde Morris Blvd, Suite 390, Ormond Beach, FL 32174-3111 | |
| (386) 673-0075 | |
| (386) 673-0049 |
| Full Name | Amol K Gupta |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 23 Years |
| Location | 345 Clyde Morris Blvd, Ormond Beach, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083824817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | ME97749 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Amol K Gupta Md Corporation | 1052496361 | 2 |
| Halifax Healthcare Systems Inc | 1254238090 | 303 |
| Entity Name | Halifax Healthcare Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245283530 PECOS PAC ID: 1254238090 Enrollment ID: O20031218000443 |
| Entity Name | Amol K Gupta Md Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710162094 PECOS PAC ID: 1052496361 Enrollment ID: O20080311000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Amol K Gupta, MD 345 Clyde Morris Blvd, Suite 390, Ormond Beach, FL 32174-3111 Ph: (386) 673-0075 | Amol K Gupta, MD 345 Clyde Morris Blvd, Suite 390, Ormond Beach, FL 32174-3111 Ph: (386) 673-0075 |
Dr. H. S. Ramesh, M.D Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 325 Clyde Morris Blvd Ste 400, Ormond Beach, FL 32174 Phone: 386-671-0600 Fax: 386-677-9710 | |
Gabriella Paiz, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1275 W Granada Blvd Ste 4b2, Ormond Beach, FL 32174 Phone: 386-617-1112 |