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Individual

DR. DIVYA JOSEPH AICKARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11601 SHELDON RD, TAMPA, FL 33626-4306
(813) 324-6630
(813) 926-1500
Mailing address
4197 WOODLANDS PKWY, PALM HARBOR, FL 34685-3493
(813) 333-1512
(813) 333-1561

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME169912
FL

Other

Enumeration date
04/14/2020
Last updated
10/16/2025
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