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Individual

CHRISTOPHER P TARDIF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3745 11TH CIR, SUITE 103, VERO BEACH, FL 32960-4837
(772) 794-9771
(772) 794-9773
Mailing address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 567-4311
(772) 794-1450

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME67894
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26691
BCBS
FL
Enumeration date
06/28/2006
Last updated
09/22/2010
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