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Individual
ANTONIO PRADO
Active
Individual
ANTONIO PRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME64750
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180031518
RAILROAD MEDICARE
FL
01
—
25297
BLUE CROSS BLUE SHIELD
FL
05
—
375412000
—
FL
01
—
4530669
AETNA PROVIDER NUMBER
FL
Enumeration date
07/13/2005
Last updated
03/06/2026
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