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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

NPI # 1376675454
LBN Legal business name ANTONIO PRADO MD PA
Authorized official ANTONIO PRADO - (PRESIDENT CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/12/2007
Last updated 06/03/2020 - About 6 years ago
Identifiers
FL License # ME64750
FL Medicaid 277042300
FL Other 99062 BLUE CROSS BLUE SHIELD FL
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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