Organization
PRADA MEDICAL CENTER GROUP CORP.
Active
Organization
PRADA MEDICAL CENTER GROUP CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEDEL J BARATA (PRESIDENT/OWNER)
(786) 439-5919
Entity
Organization
Contact information
Practice address
3900 NW 79TH AVE, SUITE 728, DORAL, FL 33166-6556
(786) 439-5919
(305) 675-2668
Mailing address
3900 NW 79TH AVE, SUITE 728, DORAL, FL 33166-6556
(786) 439-5919
(305) 675-2668
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC7148
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC7148
AHCA LICENSE
FL
Enumeration date
10/02/2006
Last updated
08/22/2020
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