Tarle, Ivan

Tarle, Ivan is an individual health care provider with primary practice located at 1911 N Mills Ave , Orlando FL 32803-1432. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Tarle, Ivan can be contacted via phone (407) 893-8200.

Contact Information

Primary practice address
1911 N Mills Ave Orlando FL 32803-1432
Fax: (407) 893-8220
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME75834 Florida

Profile Details

NPI number 1205897030
LBN Legal business name Tarle, Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Mar 5th, 2008 - about 16 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 1205897030 NPPES
Other 400984 GHI
Other 5581013 GHI
Other 1036804 GHI
Other 1290944 GHI
MEDICAID 26216900 GHI
Other 151706765 GHI
Other 26999 GHI
Other 547 GHI
Other 2083692 GHI

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