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KIDSKIDNEYDOC LLC
NPI 1790971786
Specialist in Orlando, FL

Active since September 24, 2007
203 ERNESTINE ST, SUITE A, ORLANDO, FL 32801(407) 843-6110 Get Directions Write a Review

NPPES record last updated: September 24, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kidskidneydoc Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIDSKIDNEYDOC LLC (NPI 1790971786) is a healthcare organization registered as a specialist in Orlando, Florida and active in the NPI registry since September 2007. The organization lists Norman Dale Pryor, Pediatric Neprologist, as its authorized official.

NPPES Registry Identity

NPI1790971786
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKIDSKIDNEYDOC LLC
Location Address203 ERNESTINE ST, SUITE AOrlando, FL 32801-3621
Mailing Address203 Ernestine St, Suite AOrlando, FL 32801-3621 · (407) 843-6110
Phone(407) 843-6110
Organization SubpartNo
Authorized OfficialNorman Dale PryorPediatric Neprologist · (407) 876-0772
Enumeration DateSeptember 24, 2007
✔ NPI 1790971786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · 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.
203 ERNESTINE ST, Orlando, FL 32801
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Other Identifiers 1

Medicare PINK7841FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NORMAN DALE PRYOR M.D.
Pediatrics (Pediatric Nephrology)
203 ERNESTINE ST, STE A
ORLANDO, FL 32801
Orange County (407) 843-6110
CENTRAL FLORIDA KIDNEY CENTERS INC
Specialist
203 ERNESTINE ST
ORLANDO, FL 32801
Orange County (407) 843-6110
CENTRAL FLORIDA KIDNEY CENTERS INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
203 ERNESTINE ST
ORLANDO, FL 32801
Orange County (407) 843-6110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kidskidneydoc LLC's NPI number?

The NPI number for Kidskidneydoc LLC is 1790971786. It was assigned to this organization in the NPPES registry on September 24, 2007.

Where is Kidskidneydoc LLC located?

Kidskidneydoc LLC is located at 203 Ernestine St Suite A, Orlando, FL 32801. The listed phone number is (407) 843-6110.

What is Kidskidneydoc LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Kidskidneydoc LLC accept?

Health plans from Wellpoint list Kidskidneydoc LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kidskidneydoc LLC was last updated on September 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.