Healthcare Provider Details

I. General information

NPI: 1104461581
Provider Name (Legal Business Name): PURVEENA SAVIRTRIE DOOBAY PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2019
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 S ORLANDO AVE
WINTER PARK FL
32789-7116
US

IV. Provider business mailing address

504 KEY HAVEN DR
SANFORD FL
32771-5209
US

V. Phone/Fax

Practice location:
  • Phone: 407-574-8535
  • Fax:
Mailing address:
  • Phone: 407-738-6405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberPA9112885
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9112885
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: