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Contact Information

ANTONIO PRADO MD PA
7522 N HIMES AVE
TAMPA, FL33614-3205
 Phone: 813-931-0500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for ANTONIO PRADO MD PA · (Female)

NPI # 1376675454
Status Active
Credentials
Entity Individual
Enumeration date 03/12/2007
Last updated 06/03/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME64750
  • FL Medicaid 277042300
  • FL Other 99062 BLUE CROSS BLUE SHIELD FL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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