Rezia Catherine Shobhana Divaker, MD

Pediatrics Physician · Mount Dora, FL

Individual Active NPI

NPI number 1376635409

Practice location

6551 N Orange Blossom Trl
Ste# 229
Mount Dora, FL 32757-7013
Phone
(352) 383-8384

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NPI record

NPI
1376635409
Entity type
Individual (Type 1)
Enumeration date
September 28, 2006
Last updated
August 15, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X ME96675 FL

Mailing address

13506 Summerport Village Pkwy
Ste# 334
Windermere, FL 34786-7366
Phone
(352) 383-8384

About Dr. Divaker

Rezia Catherine Shobhana Divaker, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 6551 N Orange Blossom Trl, Ste# 229, Mount Dora, FL 32757-7013. The NPI number 1376635409 was assigned on September 28, 2006 and the record was last updated on August 15, 2013.

Dr. Divaker lists a license in the registry: #ME96675 (FL) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Rezia Catherine Shobhana Divaker, MD?

The NPI number is 1376635409.

What is the phone number of Dr. Divaker?

The phone number listed for the practice location is (352) 383-8384.

Where is Dr. Divaker located?

6551 N Orange Blossom Trl, Ste# 229, Mount Dora, FL 32757-7013.

What is the taxonomy code for Dr. Divaker?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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