Samuel S. Divaker, MD

Pediatrics Physician · Mount Dora, FL

Individual Active NPI

NPI number 1437250917

Practice location

6551 N Orange Blossom Trl Ste 229
Mount Dora, FL 32757-7018
Phone
(352) 383-8384
Fax
(678) 553-0329

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NPI record

NPI
1437250917
Entity type
Individual (Type 1)
Enumeration date
September 26, 2006
Last updated
June 7, 2021
Certified
June 7, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X MD90893 FL
Pediatrics Physician 208000000X ME90893 FL

Mailing address

13506 Summerport Village Pkwy # 334
Windermere, FL 34786-7366
Phone
(407) 615-5005
Fax
(678) 553-0329

About Dr. Divaker

Samuel S. 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 32757-7018. The NPI number 1437250917 was assigned on September 26, 2006 and the record was last updated on June 7, 2021.

Dr. Divaker lists 2 licenses in the registry: #MD90893 (FL) for Pediatrics Physician; #ME90893 (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 Samuel S. Divaker, MD?

The NPI number is 1437250917.

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 32757-7018.

What is the taxonomy code for Dr. Divaker?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

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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