Organization
DIVAKER PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZIA DIVAKER M.D. (PROVIDER)
(609) 614-0980
Entity
Organization
Contact information
Practice address
6551 N ORANGE BLOSSOM TRL, MOUNT DORA, FL 32757-7013
(609) 614-0980
(609) 784-7474
Mailing address
6551 N ORANGE BLOSSOM TRL, MOUNT DORA, FL 32757-7013
(609) 614-0980
(609) 784-7474
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
FL
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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