Individual
CARLOS R. TANDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 SAN MARCO BLVD, SUITE 200, JACKSONVILLE, FL 32207-8559
(904) 346-3465
(904) 858-6489
Mailing address
PO BOX 40767, JACKSONVILLE, FL 32203-0767
(904) 376-3707
(904) 391-5001
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME56140
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
ME56140
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
ME56140
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0617083-00
—
FL
01
—
200016297
RAILROAD MEDICARE
FL
Enumeration date
06/09/2005
Last updated
12/08/2023
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