Kidskidneydoc Llc is a Specialist in Orlando, Florida. Kidskidneydoc Llc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kidskidneydoc Llc is 1790971786. The last update date is 2007-09-24.
Kidskidneydoc Llc's current location address is 203 Ernestine St, Orlando, Florida. You can contact this provider via phone number 4078436110. The mailing address for Kidskidneydoc Llc is 203 Ernestine St, Orlando, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kidskidneydoc Llc |
|---|---|
| Address | 203 Ernestine St, Orlando, Florida |
| Phone Number | 4078436110 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PEDIATRIC |
|---|---|
| Authorized Official Name | Pryor Dale Norman |
| Credentials | MD |
| Telephone Number | 4078760772 |
NPI Number Detail
| NPI Number | 1790971786 |
|---|---|
| Provider Enumeration Date | 2007-09-24 |
| Last Updated Date | 2007-09-24 |
Provider Mailing Address Detail
| Address | 203 Ernestine St |
|---|---|
| City | Orlando |
| State | Florida (FL) |
| Post Code | 328013621 |
| Phone Number | 4078436110 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME 48930 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kidskidneydoc Llc by the Centers for Medicare & Medicaid Services?
The Kidskidneydoc Llc has been assigned the NPI (National Provider Identifier) 1790971786 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Kidskidneydoc Llc?
The Kidskidneydoc Llc is physically situated at 203 Ernestine St, in the city of Orlando, state of FL, with the postal code 328013621.
What is the area of specialization for Kidskidneydoc Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kidskidneydoc Llc is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1790971786 to Kidskidneydoc Llc?
The Kidskidneydoc Llc received its 1790971786 assignment from the Centers for Medicare & Medicaid Services on 2007-09-24.
When was the information related to Kidskidneydoc Llc most recently updated or refreshed?
The details pertaining to the Kidskidneydoc Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-09-24.