| David Prado, | |
| 1680 Saint Clair Ave E, North Fort Myers, FL 33903-4649 | |
| (786) 269-3358 | |
| Not Available | 
| Full Name | David Prado | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1680 Saint Clair Ave E, North Fort Myers, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1659054468 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95037035 (California) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | F06230584 (Florida) | Primary | 
| Entity Name | Molina Care Connections, Llc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20180515001421 | 
| Mailing Address | Practice Location Address | 
|---|---|
| David Prado, 1680 Saint Clair Ave E, North Fort Myers, FL 33903-4649 Ph: (786) 269-3358 | David Prado, 1680 Saint Clair Ave E, North Fort Myers, FL 33903-4649 Ph: (786) 269-3358 | 
| Jordyn Bodkin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 83 Pondella Rd, North Fort Myers, FL 33903 Phone: 239-461-6100 | |
| Taylor Fitori Marrapese, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13279 N Cleveland Ave, North Fort Myers, FL 33903 Phone: 239-652-4111 | |
| Susan M Samerdyke, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13279 N Cleveland Ave, North Fort Myers, FL 33903 Phone: 239-652-4111 Fax: 239-652-4105 | |
| Mrs. Editha Anne Butler, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3440 Marinatown Ln Ste 210, North Fort Myers, FL 33903 Phone: 239-230-2000 Fax: 239-235-4640 | |
| Omaida D. Borjas, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8750 Henderson Grade, North Fort Myers, FL 33917 Phone: 239-223-0624 | |
| Laura Ann Sieben, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3434 Hancock Bridge Pkwy, North Fort Myers, FL 33903 Phone: 877-856-3774 Fax: 239-599-2612 | |
| Raisa Diaz Guerrero,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1129 Travis Ave, North Fort Myers, FL 33903 Phone: 239-308-3051 |