Individual
DR. SAMUEL S DIVAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6551 N ORANGE BLOSSOM TRL STE 229, MOUNT DORA, FL 32757-7018
(352) 383-8384
(678) 553-0329
Mailing address
13506 SUMMERPORT VILLAGE PKWY # 334, WINDERMERE, FL 34786-7366
(407) 615-5005
(678) 553-0329
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD90893
FL
208000000X
Pediatrics Physician
ME90893
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270372600
—
FL
Enumeration date
09/26/2006
Last updated
06/07/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us