Individual
DIVYA DEVABHAKTUNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 S ORANGE AVE STE 103, ORLANDO, FL 32806-2946
(321) 841-4344
(321) 843-1753
Mailing address
1717 S ORANGE AVE STE 103, ORLANDO, FL 32806-2946
(321) 841-4344
(321) 843-1753
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME176972
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2019
Last updated
11/03/2025
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