Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | ME0022163 | FL |
N | 2081P2900X | Pain Medicine | ME0022163 | FL |
NPI | 1295893782 |
---|---|
Provider Name | Dr. Jairo O Parada |
First Address | Tampa, FL 33602-1208 |
Second Address | Tampa, FL 33602-1208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2006 |
Last Update Date | 31/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
068979300 | (05) | FL |
D85692 | (02) |