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Individual
IVAN TARLE
Active
Individual
IVAN TARLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME75834
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1036804
CIGNA
FL
01
—
1290944
UNITED HEALTH CARE
FL
01
—
151706765
TRI CARE
FL
01
—
2083692
AETNAHMO
FL
05
—
26216900
—
FL
01
—
26999
BCBS
FL
01
—
400984
GHI
—
01
—
547
WELL CARE
FL
01
—
5581013
AETNA PPO/POS
FL
Enumeration date
03/31/2006
Last updated
03/05/2008
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