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NPI Code Detail

MEDICARE: JYOTHI GUNTA M.D

MEDICARE:   JYOTHI  GUNTA  M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083X0100XOccupational Medicine PhysicianME136482FL
2208D00000XGeneral Practice Physician75218GA
3207QG0300XGeriatric Medicine (Family Medicine) PhysicianME136482FL
42083P0901XPublic Health & General Preventive Medicine PhysicianME136482FL
5207Q00000XFamily Medicine PhysicianME136482FL
6208D00000XGeneral Practice Physician186322CA
7208D00000XGeneral Practice PhysicianW1967TX
8208D00000XGeneral Practice PhysicianMD19846HI
9208D00000XGeneral Practice PhysicianME136482FL

Other Identifiers

General Provider Information

NPI Number : 1679834725
Entity Type Code : Individual
Provider Name (Legal Business Name) : JYOTHI GUNTA M.D
Provider Business Mailing Address
First Line : 800 CLEMATIS ST STE 5-531
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-5107
Country : US
Telephone Number : 561-671-4036
Fax Number : 561-837-5190
Provider Business Practice Location Address
First Line : 800 CLEMATIS ST STE 5-531
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-5107
Country : US
Telephone Number : 561-671-4036
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2012
Last Update Date : 04/16/2026

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Directions to “ JYOTHI GUNTA M.D” Practice Location

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