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NPI Code Detail

MEDICARE: ANTONIO PRADO M.D.

MEDICARE: ANTONIO PRADO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology PhysicianME64750FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14530669OTHERFLAETNA PROVIDER NUMBER
225297OTHERFLBLUE CROSS BLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790783769
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTONIO PRADO M.D.
Provider Business Mailing Address
First Line : 7522 N HIMES AVE
Second Line :
City : TAMPA
State : FL
Zip : 33614-3205
Country : US
Telephone Number : 813-931-0500
Fax Number : 813-936-2805
Provider Business Practice Location Address
First Line : 7522 N HIMES AVE
Second Line :
City : TAMPA
State : FL
Zip : 33614-3205
Country : US
Telephone Number : 813-931-0500
Fax Number : 813-936-2805
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 01/15/2008

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Directions to “ ANTONIO PRADO M.D.” Practice Location

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