Male or Other

Dr. William R. Prather MD

Pediatrics Physician in St Petersburg, FL(View on Map)

Full Name

Dr. William Russell Prather MD

NPI Number

1790894566

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/29/2006

Specialties

(Taxonomies)

Code

208000000X
208M00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

ME82181

Contact
Information

Purpose

Mailing
Location

Address

1033 DR MARTIN LUTHER KING JR ST N
1033 MLK ST

City

St Petersburg
St Petersburg

State

FL
FL

Postal Code

33701-1547
33701-1547

Country

US
US

Telephone Number

(727) 456-4250
(727) 456-4250

Identifiers

Identifier

261533900

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/22/2013

Provider Address

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