Provider Demographics
NPI:1316355795
Name:RUMBAK, DANIA (MD)
Entity Type:Individual
Prefix:
First Name:DANIA
Middle Name:
Last Name:RUMBAK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:303 N CLYDE MORRIS BLVD
Mailing Address - Street 2:10E PBFS
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-2709
Mailing Address - Country:US
Mailing Address - Phone:386-425-2285
Mailing Address - Fax:386-425-7522
Practice Address - Street 1:303 N CLYDE MORRIS BLVD
Practice Address - Street 2:EMERGENCY MEDICINE
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-2709
Practice Address - Country:US
Practice Address - Phone:386-425-2285
Practice Address - Fax:386-425-7522
Is Sole Proprietor?:No
Enumeration Date:2014-07-29
Last Update Date:2021-09-29
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Provider Licenses
StateLicense IDTaxonomies
FLME1451552080P0204X, 208000000X, 2080P0204X
NJ25MA098559002080P0203X
NY2620092080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108892600Medicaid