Healthcare Provider Details

I. General information

NPI: 1720538028
Provider Name (Legal Business Name): NORA DAYE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2016
Last Update Date: 05/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N ORANGE AVE STE 600
ORLANDO FL
32801
US

IV. Provider business mailing address

801 N ORANGE AVE STE 600
ORLANDO FL
32801-5202
US

V. Phone/Fax

Practice location:
  • Phone: 407-841-2100
  • Fax: 407-841-5705
Mailing address:
  • Phone: 407-841-2100
  • Fax: 407-841-5705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA 9109885
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: