MEDICARE: ADRIANA PRADO PT

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	225100000X	Physical Therapist	PT17924	FL

General Provider Information

NPI Number	:	1750452850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIANA PRADO PT

Provider Business Mailing Address
First Line	:	1236 PEREGRINE WAY
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33327-2369
Country	:	US
Telephone Number	:	305-300-5526
Fax Number	:

Provider Business Practice Location Address
First Line	:	2237 N COMMERCE PKWY STE 2
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33326-3250
Country	:	US
Telephone Number	:	954-888-6650
Fax Number	:	954-888-6645

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

Provider Enumeration Date	:	11/11/2006
Last Update Date	:	10/09/2014

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Directions to “ ADRIANA PRADO PT” Practice Location

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