Individual
ANTONIO PRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7522 N HIMES AVE, TAMPA, FL 33614-3205
(813) 931-0500
(813) 936-2805
Mailing address
7522 N HIMES AVE, TAMPA, FL 33614-3205
(813) 931-0500
(813) 936-2805
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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