Individual
DR. DIVYA PINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
60 MEMORIAL MEDICAL PKWY, PALM COAST, FL 32164-5980
(386) 586-4743
Mailing address
35 DEEP WOODS WAY, ORMOND BEACH, FL 32174-1848
(386) 615-1457
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036108508
IL
207R00000X
Internal Medicine Physician
Primary
ME96478
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108508
—
IL
Enumeration date
03/22/2006
Last updated
02/12/2014
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