Rezia Catherine Shobhana Divaker
MD | Pediatrics | Female
Rezia Catherine Shobhana Divaker, MD is a Mount Dora, Florida based Pediatric doctor with medical specialization in
General Pediatrics. Rezia Catherine Shobhana Divaker is also known as
Shobhana Rezia Catherine Joseph.
Current practice location of Rezia Catherine Shobhana Divaker is
6551 N Orange Blossom Trl, Ste# 229, Mount Dora, Florida - 32757-7013. She can be contacted on phone at
352-383-8384.
Rezia Catherine Shobhana Divaker is a sole proprietor of her business.
NPI number (Unique professional ID) for Rezia Catherine Shobhana Divaker is
1376635409 which was assigned by NPPES on 28 Sep, 2006 and it was last updated on 15 Aug, 2013.
Rezia Catherine Shobhana Divaker license number is
ME96675 for Pediatrics (208000000X) in Florida.
Rezia Catherine Shobhana Divaker is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Rezia Catherine Shobhana Divaker basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Rezia Catherine Shobhana Divaker |
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| Other Name : | Shobhana Rezia Catherine Joseph |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Rezia Catherine Shobhana Divaker address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 6551 N Orange Blossom Trl, Ste# 229
Mount Dora, FL, 32757-7013
United States |
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| Phone Number : | 352-383-8384 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1376635409 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Sep, 2006 |
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| Last Updated On : | 15 Aug, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Rezia Catherine Shobhana Divaker are as mentioned. Primary taxonomy code for Rezia Catherine Shobhana Divaker, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | ME96675 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Rezia Catherine Shobhana Divaker such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 56693 | Other | FL | BCBS |
| 008731900 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 13506 Summerport Village Pkwy, Ste# 334
Windermere, FL, 34786-7366
United States |
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| Phone Number : | 352-383-8384 |
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Business Location:
Patients can refer following map for directions to
Rezia Catherine Shobhana Divaker practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.