Mccray, Devina Komalawati Siregar

Mccray, Devina Komalawati Siregar is an individual health care provider with primary practice located at 661 E Altamonte Dr Ste 231 , Altamonte Springs FL 32701-5102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Mccray, Devina Komalawati Siregar can be contacted via phone (407) 303-5214.

Contact Information

Primary practice address
661 E Altamonte Dr Ste 231 Altamonte Springs FL 32701-5102
Phone: (407) 303-5214
Fax: (407) 303-5215
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A121268 California
Allopathic & Osteopathic Physicians / Surgery 208600000X 35.126197 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101260265 Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X ME107029 Florida

Profile Details

NPI number 1932473089
LBN Legal business name Mccray, Devina Komalawati Siregar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2012
Last updated Sep 1st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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