# OLGA PRADA MD MEDICAL CLINIC CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902266810
- **Authorized official:** OLGA PRADA-GONZALEZ M.D (PRESIDENT)
- **Authorized official phone:** (305) 267-1705

## Contact information

- **Practice address:** 720 SW 58TH CT, MIAMI, FL 33144-3928
- **Practice address phone:** (305) 267-1705
- **Practice address fax:** (305) 267-1703
- **Mailing address:** 720 SW 58TH CT, MIAMI, FL 33144-3928
- **Mailing address phone:** (305) 267-1705
- **Mailing address fax:** (305) 267-1703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2016
- **Last updated:** 04/20/2016