MEDICARE: DR. ANTONIO R PRATS MD

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
1	207T00000X	Neurological Surgery Physician	ME56336	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639130354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTONIO R PRATS MD

Provider Business Mailing Address
First Line	:	3641 S MIAMI AVE STE 353B
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-4204
Country	:	US
Telephone Number	:	305-854-4334
Fax Number	:	305-854-6966

Provider Business Practice Location Address
First Line	:	3641 S MIAMI AVE STE 353B
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-4204
Country	:	US
Telephone Number	:	305-854-4334
Fax Number	:	305-854-6966

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	05/10/2021

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