Provider Demographics
NPI:1669794004
Name:VERMA, RINKI G (MD)
Entity type:Individual
Prefix:
First Name:RINKI
Middle Name:G
Last Name:VERMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 TOWN CENTER DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ORANGE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32763-8255
Mailing Address - Country:US
Mailing Address - Phone:386-775-1612
Mailing Address - Fax:386-775-1289
Practice Address - Street 1:955 TOWN CENTER DR
Practice Address - Street 2:SUITE 200
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-8255
Practice Address - Country:US
Practice Address - Phone:386-775-1612
Practice Address - Fax:386-775-1289
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-26
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME77908207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy