| Doctor Name: | CRISTIAN DAVID PRADO |
| NPI Number: | 1437114915 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MOTRL, PT |
| License Number: | PT26351 |
| Business Practice Address: | 1845 Town Center Blvd Ste 410 Credentialing Department Fleming Island, FL - 320033361 |
| Business Phone Number: | 9046210396 |
| Business Fax Number: | 9046210397 |
| Mailing Address: | Po Box 40767, Credentialing Department JACKSONVILLE |
| State: | FL |
| Postal Code: | 322030767 |
| Phone Number: | 9043763707 |
| Fax Number: | 9043915807 |
| NPI Enumeration Date: | 04/19/2006 |
| NPI Last Update Date: | 02/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT26351 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |