Individual
SUVARCHALA DEVI DARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 S SEMORAN BLVD STE A, ORLANDO, FL 32807-1480
(407) 480-4445
(407) 480-4446
Mailing address
PO BOX 781729, ORLANDO, FL 32878-1729
(407) 480-4445
(407) 480-4446
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME105611
VA
390200000X
Student in an Organized Health Care Education/Training Program
0101238389
VA
Other
Enumeration date
05/25/2007
Last updated
12/21/2020
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