CARMELA LYDIA TARDO MD NPI 1790706711

NPI Information

NPI: 1790706711
Provider Name: CARMELA LYDIA TARDO, MD
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

PECOS Registration: Yes

Address:
6271 SAINT AUGUSTINE RD
UFJP DEVELOPMENTAL PEDIATRICS
JACKSONVILLE, FL
ZIP 32217
Phone: (904) 633-0750
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Carmela Lydia Tardo, MD is a neurology with special qualifications in child neurology psychiatry neurology in Jacksonville, FL. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Carmela Lydia Tardo, MD NPI is 1790706711. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6271 SAINT AUGUSTINE RD
UFJP DEVELOPMENTAL PEDIATRICS
JACKSONVILLE, FL
ZIP 32217-523
Phone: (904) 633-0750

The NPI 1790706711 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/23/2006 and was last updated on 2/23/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	MFC1640	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	000692000	MEDICAID	FLORIDA
2	457723146A	MEDICAID	GEORGIA
3	BL485X	MEDICARE PIN	FLORIDA
4	B65669	MEDICARE UPIN
5	1155233	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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