Dr. Samuel S Divaker
MD | Pediatrics | Male
Dr. Samuel S Divaker, MD is a Mount Dora, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Samuel S Divaker is
6551 N Orange Blossom Trl Ste 229, Mount Dora, Florida - 32757-7018. He can be contacted on phone at
352-383-8384 and fax number 678-553-0329.
Dr. Samuel S Divaker is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Samuel S Divaker is
1437250917 which was assigned by NPPES on 26 Sep, 2006 and it was last updated on 07 Jun, 2021.
Dr. Samuel S Divaker license number is
MD90893 for Pediatrics (208000000X) in Florida.
Dr. Samuel S 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:
Dr. Samuel S Divaker basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Samuel S Divaker |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Samuel S 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, 32757-7018
United States |
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| Phone Number : | 352-383-8384 |
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| Fax Number : | 678-553-0329 |
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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 : | 1437250917 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 Sep, 2006 |
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| Last Updated On : | 07 Jun, 2021 |
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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 Dr. Samuel S Divaker are as mentioned. Primary taxonomy code for Dr. Samuel S Divaker, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | ME90893 | FL |
| 208000000X | Pediatrics | Yes | MD90893 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Samuel S Divaker such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 270372600 | 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 # 334
Windermere, FL, 34786-7366
United States |
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| Phone Number : | 407-615-5005 |
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| Fax Number : | 678-553-0329 |
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Business Location:
Patients can refer following map for directions to
Dr. Samuel S 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.