Individual
DR. JAIRO O PARADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2914 N BOULEVARD, TAMPA, FL 33602-1208
(813) 865-4786
(813) 228-0677
Mailing address
2914 N BOULEVARD, TAMPA, FL 33602-1208
(813) 228-7696
(813) 228-0677
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME0022163
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
ME0022163
FL
209800000X
Legal Medicine (M.D./D.O.) Physician
ME22163
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068979300
—
FL
Enumeration date
12/05/2006
Last updated
03/31/2010
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