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Individual

DR. DIWYA U RANJIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
4106 W LAKE MARY BLVD, SUITE 100, LAKE MARY, FL 32746-3315
(407) 333-2273
(407) 333-3939
Mailing address
4106 W LAKE MARY BLVD, SUITE 100, LAKE MARY, FL 32746-3315
(407) 333-2273
(407) 333-3939

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME60931
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000927400
FL
01
14459Z
MEDICARE PTAN
FL
01
1649225434
NPI
FL
01
DN9084
MEDICARE RR PTAN
FL
Enumeration date
05/23/2006
Last updated
10/15/2009
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