Carlos R. Tandron
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
1325 San Marco Blvd Suite 200
Jacksonville
, Florida 32207-8559
Carlos R. Tandron
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
1325 San Marco Blvd Suite 200
Jacksonville
, Florida 32207-8559
(904) 858-6489
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About
Features
Specialties
- Orthopaedic Surgeon
- Adult Reconstructive Orthopaedic Surgeon
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Carlos R. Tandron
- 1325 San Marco Blvd Ste 200
- Jacksonville, FL
- Zip : 32207-8568
- Fax : (904) 858-6489
- Phone : (904) 346-3465
Second Address
- Carlos R. Tandron
- 1325 San Marco Blvd Suite 200
- Jacksonville, FL
- Zip : 32207-8559
- Fax : (904) 858-6489
- Phone : (904) 346-3465
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | ME56140 | FL |
| N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | ME56140 | FL |
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | ME56140 | FL |
National Provider Identifier
| NPI | 1245234012 |
|---|---|
| Provider Name | Carlos R. Tandron |
| First Address | Jacksonville, FL 32207-8568 |
| Second Address | Jacksonville, FL 32207-8559 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2005 |
| Last Update Date | 17/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0617083-00 | (05) | FL |
| 200016297 | RAILROAD MEDICARE (01) | FL |
| E75806 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.