Tardo, Carmela Lydia

Tardo, Carmela Lydia is an individual health care provider with primary practice located at 6271 Saint Augustine Rd Ufjp Developmental Pediatrics, Jacksonville FL 32217-2523. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as her primary health care specialty. Tardo, Carmela Lydia can be contacted via phone (904) 633-0750.

Contact Information

Primary practice address
6271 Saint Augustine Rd Ufjp Developmental Pediatrics Jacksonville FL 32217-2523
Phone: (904) 633-0750
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X MFC1640 Florida

Profile Details

NPI number 1790706711
LBN Legal business name Tardo, Carmela Lydia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2006
Last updated Feb 23rd, 2017 - 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 1790706711 NPPES
Florida MEDICAID 000692000
Florida MEDICAID 1155233
Florida MEDICAID 457723146A

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