Individual
DR. CARMELO CEDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6271 SAINT AUGUSTINE RD STE 1, JACKSONVILLE, FL 32217-2555
(904) 633-0460
(904) 633-0461
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 633-0460
(904) 633-0461
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C10008672
DE
208000000X
Pediatrics Physician
Primary
ME53455
FL
208D00000X
General Practice Physician
C10008672
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063341100
—
FL
Enumeration date
05/17/2006
Last updated
12/04/2018
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