Individual
JULIO PRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6175 NW 153RD ST, SUITE 301, MIAMI LAKES, FL 33014-2435
(305) 558-9522
(305) 558-9520
Mailing address
104 SW 180TH AVE, PEMBROKE PINES, FL 33029-3900
(954) 442-7172
(954) 442-7188
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9100232
FL
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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