Organization
CARLOS A CONRADO M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS A CONRADO M.D., (OWNER)
(305) 248-4877
Entity
Organization
Contact information
Practice address
151 NW 11TH ST, SUITE E102, HOMESTEAD, FL 33030-4360
(305) 248-4877
(305) 245-1576
Mailing address
151 NW 11TH ST, SUITE E102, HOMESTEAD, FL 33030-4360
(305) 248-4877
(305) 245-1576
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0061233
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18453
BLUE CROSS BLUE SHIELD
FL
05
—
267644300
—
FL
Enumeration date
03/22/2007
Last updated
06/11/2012
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