Organization
MD HEALTHCARE & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIO PRADO PA (PRESIDENT)
(305) 822-2824
Entity
Organization
Contact information
Practice address
7975 NW 154TH ST, STE 200, MIAMI LAKES, FL 33016-5863
(305) 822-2824
(305) 822-2355
Mailing address
7975 NW 154TH ST, STE 200, MIAMI LAKES, FL 33016-5863
(305) 822-2824
(305) 822-2355
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MM27455
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC9387
AGENCY FOR HEALTH CARE
FL
Enumeration date
06/22/2012
Last updated
06/22/2012
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