Healthcare Provider Details

I. General information

NPI: 1962524884
Provider Name (Legal Business Name): NAVIN VERMA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 06/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3849 OAKWATER CIR
ORLANDO FL
32806-6264
US

IV. Provider business mailing address

3849 OAKWATER CIR
ORLANDO FL
32806-6264
US

V. Phone/Fax

Practice location:
  • Phone: 407-240-1762
  • Fax:
Mailing address:
  • Phone: 407-240-1762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME102384
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License NumberME102384
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number25MA08212900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: