Active NPI 1376635409 Individual Practitioner Female Practitioner

Dr. Rezia Catherine Shobhana Divaker , MD

Pediatrics • Mount Dora, FL

Professional Overview & Biography Verified Profile Summary

Dr. Rezia Divaker, MD is a registered healthcare professional specializing in Pediatrics in Mount Dora, FL. Practice services are available at 6551 N ORANGE BLOSSOM TRL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6551 N Orange Blossom Trl
Ste# 229

Mount Dora, FL 327577013

Telephone 3523838384

Associated Practice Facility / Clinic

🏢 Divaker Pediatrics Llc Facility NPI 1518302835

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Mount Dora, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 41.0 Yrs

State Avg: 22.2 Yrs

Regional Practice Density

5 Specialists

Practicing in Mount Dora, FL (4160 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME96675

A pediatrician 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

008731900 (FL)

Commercial Insurance / Payer ID Bcbs

56693 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Samuel Divaker , MD

Pediatrics

NPI 1437250917

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 15, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 15, 2013

Registered at 6551 N ORANGE BLOSSOM TRL, STE# 229, MOUNT DORA, FL 327577013 (Tel: 3523838384)

📍

Updated Business Mailing Address August 15, 2013

Registered at 13506 SUMMERPORT VILLAGE PKWY, STE# 334, WINDERMERE, FL 347867366 (Tel: 3523838384)

👤

Provider Name / Credentials Updated August 15, 2013

Recorded as REZIA DIVAKER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2013

Pediatrics (License #ME96675 in FL)

🟢

Initial NPI Registration & Enumeration September 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376635409

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 28, 2006

Last Update: August 15, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

13506 Summerport Village Pkwy, Ste# 334

Windermere, FL 347867366

Phone: 3523838384

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.