Individual
IVAN TARLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1911 N MILLS AVE, ORLANDO, FL 32803-1432
(407) 893-8200
(407) 893-8220
Mailing address
1911 N MILLS AVE, ORLANDO, FL 32803-1432
(407) 893-8200
(407) 893-8220
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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