Individual
JAVIER M PRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 N US HIGHWAY 1, FORT PIERCE, FL 34950-9125
(772) 252-4014
(772) 999-5577
Mailing address
827 18TH ST, VERO BEACH, FL 32960-6481
(772) 925-8200
(772) 925-8199
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
ME82500
FL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME82500
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262196700
—
FL
Enumeration date
02/07/2007
Last updated
05/30/2024
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