Divaker Pediatrics LLC
NPI #1518302835 in Mount Dora, Florida
Provider Information
- NPI Number
- 1518302835
- Entity Type
- Organization
- Organization Name
- Divaker Pediatrics LLC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Apr 30, 2013
- Last Updated
- Apr 30, 2013
Practice Location
- Address
- 6551 N ORANGE BLOSSOM TRL
- City
- Mount Dora
- State
- Florida
- ZIP Code
- 32757-7013
- Phone
- (609) 614-0980
Authorized Official
- Name
- DR. REZIA DIVAKER, M.D.
- Title
- PROVIDER
- Phone
- (609) 614-0980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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