Provider Demographics
NPI:1417589110
Name:DAWRY, PETER
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:
Last Name:DAWRY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11238 PINEWOOD COVE LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817-3432
Mailing Address - Country:US
Mailing Address - Phone:954-348-2448
Mailing Address - Fax:
Practice Address - Street 1:11238 PINEWOOD COVE LN
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-3432
Practice Address - Country:US
Practice Address - Phone:954-348-2448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-10
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program