Prada, Stefan A

Prada, Stefan A is an individual health care provider with primary practice located at 11809 N Dale Mabry Hwy , Tampa FL 33618-3505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Prada, Stefan A can be contacted via phone (833) 367-4968.

Contact Information

Primary practice address
11809 N Dale Mabry Hwy Tampa FL 33618-3505
Phone: (833) 367-4968
Fax: (833) 367-4968
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD34843 Tennessee

Profile Details

NPI number 1962452649
LBN Legal business name Prada, Stefan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jul 26th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962452649 NPPES
Tennessee MEDICAID 3864713

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