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Organization

ANTONIO PRADO MD PA

Active
Other names
Cataract & Laser Institute of Brandon
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTONIO PRADO MD (PRESIDENT)
(813) 931-0500
Entity
Organization

Contact information

Practice address
7522 N HIMES AVE, TAMPA, FL 33614-3205
(813) 931-0500
(813) 936-2805
Mailing address
206 BUCKINGHAM PL, SUITE 102, BRANDON, FL 33511-4910
(813) 653-2020
(813) 653-2205

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
277042301
FL
01
99062A
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
Enumeration date
02/17/2011
Last updated
02/17/2011
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