CARMELA LYDIA TARDO (NPI# 1790706711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790706711 |
| Entity Type | Individual |
| Full Name | CARMELA LYDIA TARDO |
| Credential | MD |
| Practice Address |
6271 Saint Augustine Rd Ufjp Developmental Pediatrics Jacksonville FL 32217-2523 |
| Mailing Address |
Po Box 44008 Ufjp Provider Enrollment Jacksonville FL 32231-4008 |
| Practice Telephone | 9046330750 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2017-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
MFC1640 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000692000 | 05 | |
| GA | 457723146A | 05 | |
| LA | 1155233 | 05 |
| Street Address |
6271 SAINT AUGUSTINE RD UFJP DEVELOPMENTAL PEDIATRICS |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32217-2523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154380285 | Olin Beverly Mauldin Jr. | Pediatrics | 6271 Saint Augustine Rd, Ufjp San Jose Pediatric and Adolescenter Center, Jacksonville, FL 32217-2523 | 2006-03-18 |
| 1588892178 | Mary Elsielynn Carrigan | Nurse Practitioner | 6271 Saint Augustine Rd, Ufjax - Dept. of Pediatrices, Jacksonville, FL 32217-2523 | 2009-06-23 |
| 1316035413 | Susan S Moore | Pediatrics | 6271 Saint Augustine Rd, Jacksonville, FL 32217-2523 | 2006-10-11 |
| 1467493288 | David Omer Childers Jr. | Pediatrics | 6271 Saint Augustine Rd, Ufjp Developmental Pediatrics, Jacksonville, FL 32217-2523 | 2006-06-10 |
| 1801848056 | Tajvar H Goudarzi | Pediatrics | 6271 Saint Augustine Rd, Ufjp San Jose Peds and Adolescent Center, Jacksonville, FL 32217-2523 | 2006-05-16 |
| 1598727075 | Pamela Alix Lindor | Pediatrics | 6271 Saint Augustine Rd, Jacksonville, FL 32217-2523 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336605005 | Mary Ellen Mccullough-list | Behavior Technician | 3437 Miruelo Circle North, Jacksonville, FL 32217 | 2019-02-18 |
| 1285131656 | Priority One Home Care LLC | In Home Supportive Care | 7500 Powers Ave Apt 198, Jacksonville, FL 32217 | 2018-04-11 |
| 1407361272 | Sharon Williams | Home Health | 8300 Plaza Gate Lane #1152, Jacksonville, FL 32217 | 2017-12-02 |
| 1548779929 | Acumed Medical Ltd. | Durable Medical Equipment & Medical Supplies | 6653 Powers Avenue, Suite 134, Jacksonville, FL 32217 | 2017-09-28 |
| 1437685526 | Ward Zeigler | Behavior Technician | 3437 Miruelo Cr. N., Jacksonville, FL 32217 | 2017-05-10 |
| 1538695754 | Shilonda Peterson-jackson | Technician, Other | 3437 Miruelo Cr N, Jacksonville, FL 32217 | 2017-05-08 |
| 1114467834 | Louis R. Lothman | Counselor | 3734 San Viscaya Dr., Jacksonville, FL 32217 | 2017-02-28 |
| 1023490141 | A Gentle Touch Home Health Care LLC. | Home Health | 5991 Chester Avenue, Jacksonville, FL 32217 | 2015-06-25 |
| 1912320334 | Christopher Marshall Fuller | Developmental Therapist | 5132 Edgeware Ct., Jacksonville, FL 32217 | 2014-01-22 |
| 1790040020 | Maria R. Tapia | Psychologist | 7680 Smullian Trail West, Jacksonville, FL 32217 | 2012-07-12 |
| Find all providers in zip 32217 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336792829 | Graciela Teresita Gallo | Psychiatry & Neurology | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2019-07-23 |
| 1720519713 | Chethan Krishna Rao | Psychiatry & Neurology | 841 Prudential Dr, Suite 1130, Jacksonville, FL 32207-8329 | 2017-03-22 |
| 1407241961 | Dana Shprung | Psychiatry & Neurology | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2015-04-01 |
| 1225444664 | Jun Ho Kim | Psychiatry & Neurology | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2014-07-07 |
| 1720401151 | Neuro Care, Pllc | Psychiatry & Neurology | 3050 Henderson Dr, Jacksonville, NC 28540 | 2014-01-21 |
| 1992962773 | Erick Viorritto | Psychiatry & Neurology | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2008-05-20 |
| 1861682940 | Rubina Y Bakerywala | Psychiatry & Neurology | 807 Childrens Way, Provider Enrollment Department, Jacksonville, FL 32207-8426 | 2007-07-26 |
| 1699786129 | David N. Hammond | Psychiatry & Neurology | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2006-08-10 |
| 1427069947 | Harry S. Abram Jr. | Psychiatry & Neurology | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841724861 | Neuro and Epilepsy Care Inc | Psychiatry & Neurology | 331 N Maitland Ave Ste D3, Maitland, FL 32751-4755 | 2017-04-17 |
| 1407201510 | Robert Kropp | Psychiatry & Neurology | 100 Beach Dr Ne Unit 1702, Saint Petersburg, FL 33701-3969 | 2016-04-26 |
| 1497142178 | Gian Carlo Rossi | Psychiatry & Neurology | 1324 Lakeland Hills Blvd Ste A, Lakeland, FL 33805-4543 | 2015-04-21 |
| 1851638167 | Ernesto J. Millan Md. Pa. | Psychiatry & Neurology | 5110 N. Habana Ave. Suite #1, Tampa, FL 33614-6873 | 2013-01-07 |
| 1942557863 | Henry Osso-rivera | Psychiatry & Neurology | 3100 Sw 62nd Ave Ofc, Miami, FL 33155-3009 | 2012-08-09 |
| 1235492679 | Clermont Neurology,pa | Psychiatry & Neurology | 17307 Pagonia Dr., Suite 100, Clermont, FL 34711-5932 | 2012-06-20 |
| 1093073645 | Abigail E Ley | Psychiatry & Neurology | 150 Sw Chamber Ct Ste 120, Port Saint Lucie, FL 34986 | 2012-05-01 |
| 1033351317 | Danilo Augusto Duenas | Psychiatry & Neurology | 9900 S. Ocean Dr., (601), Jensen Beach, FL 34957 | 2009-04-01 |
| 1619125622 | Avi Elizabeth Domnitz-gebet | Psychiatry & Neurology | 5129 S Lakeland Dr Ste 2, Lakeland, FL 33813-2599 | 2008-09-03 |
| 1508021742 | Germano Falcao | Psychiatry & Neurology | 2984 Alafaya Trl Ste 2020, Oviedo, FL 32765-7628 | 2008-07-28 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32217 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.