Individual
DR. JULIO EMIL PARDAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7100 W 20TH AVE STE 706, HIALEAH, FL 33016-1814
(305) 826-4699
(305) 826-0263
Mailing address
2000 ISLAND BLVD APT 301, AVENTURA, FL 33160-4958
(305) 937-2538
(305) 826-0263
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0028505
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005860
NEIGHBORHOOD PRVDR #
FL
01
—
03894
STAYWELL/WELLCARE
FL
01
—
0588781-002
CIGNA PRVDR #
FL
01
—
0948167
AETNA PRVDR #
FL
01
—
202054
AMERIGROUP PRVDR
FL
05
—
259684900
—
FL
01
—
650618366
TAX ID#
FL
01
—
92407
BLUE CROSS BLUE SHIELD #
FL
Enumeration date
07/10/2006
Last updated
01/21/2026
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