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NPI Code Detail

MEDICARE: DR. STEFAN A PRADA MD

MEDICARE:  DR. STEFAN A PRADA  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
1207XS0117XOrthopaedic Surgery of the Spine PhysicianME100555FL

General Provider Information

NPI Number : 1962452649
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEFAN A PRADA MD
Provider Business Mailing Address
First Line : 8902 N DALE MABRY HWY STE 104
Second Line :
City : TAMPA
State : FL
Zip : 33614-1579
Country : US
Telephone Number : 833-367-4968
Fax Number : 833-367-4968
Provider Business Practice Location Address
First Line : 8902 N DALE MABRY HWY STE 104
Second Line :
City : TAMPA
State : FL
Zip : 33614-1579
Country : US
Telephone Number : 833-367-4968
Fax Number : 833-367-4968
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 05/04/2026

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Directions to “ DR. STEFAN A PRADA MD” Practice Location

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