| NPI | 1790971786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN DALE PRYOR Pediatric Neprologist 407-876-0772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME 48930) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |