Cedres, Carmelo

Cedres, Carmelo is an individual health care provider with primary practice located at 6271 Saint Augustine Rd Ste 1 , Jacksonville FL 32217-2555. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Cedres, Carmelo can be contacted via phone (904) 633-0460.

Contact Information

Primary practice address
6271 Saint Augustine Rd Ste 1 Jacksonville FL 32217-2555
Phone: (904) 633-0460
Fax: (904) 633-0461
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C10008672 Delaware
Allopathic & Osteopathic Physicians / General Practice 208D00000X C10008672 Delaware
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME53455 Florida

Profile Details

NPI number 1578515359
LBN Legal business name Cedres, Carmelo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Dec 4th, 2018 - about 7 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 1578515359 NPPES
Florida MEDICAID 063341100

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