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Julio Prado, PA

Physician Assistant in Miami Lakes, FL. Individual provider (NPI-1).

NPI number1902835366
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1902835366
Entity type
Individual (NPI-1)
Name
Julio Prado
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
Jun 30, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA 9100232FLYes

Practice location

6175 Nw 153rd St
Suite 301
Miami Lakes, FL 33014-2435

Phone 305-558-9522 · Fax 305-558-9520

Mailing address

104 Sw 180th Ave
Pembroke Pines, FL 33029-3900

Phone 954-442-7172 · Fax 954-442-7188

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