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DIVAKER PEDIATRICS LLC NPI 1518302835


NPI Information

NPI: 1518302835
Provider Name: DIVAKER PEDIATRICS LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D2062454

Address:
6551 N ORANGE BLOSSOM TRL
MOUNT DORA, FL
ZIP 32757
Phone: (609) 614-0980
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DIVAKER PEDIATRICS LLC is a pediatrics in Mount Dora, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DIVAKER PEDIATRICS LLC NPI is 1518302835. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6551 N ORANGE BLOSSOM TRL
MOUNT DORA, FL
ZIP 32757-013
Phone: (609) 614-0980
Fax: (609) 784-7474

The provider's authorized official is Rezia Divaker .
The authorized official title is Provider and has the following contact phone number (609) 614-0980.

The CLIA number assigned to this NPI record is 10D2062454 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/30/2013 and was last updated on 4/30/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsFLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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