Dr BRIAN TARDIF is a male medical professional, specializing in Physician Assistant. He graduated in 2011.
SOUTHEAST ORTHOPEDIC SPECIALISTS INC
232 PONTE VEDRA PARK DR
PONTE VEDRA BEACH
FL
320826600
Tel: 90463406401014
| Npi | 1164719076 |
| Pac Id | 7113195652 |
| Professional Enrollment Id | I20110727000565 |
| Last Name | TARDIF |
| First Name | BRIAN |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | SOUTHEAST ORTHOPEDIC SPECIALISTS INC |
| Group Practice Pac Id | 1456246974 |
| Number Of Group Practice Members | 54 |
| Line 1 Street Address | 232 PONTE VEDRA PARK DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PONTE VEDRA BEACH |
| State | FL |
| Zip Code | 320826600 |
| Phone Number | 90463406401014 |
| Hospital Affiliation Ccn 1 | 100307 |
| Hospital Affiliation Lbn 1 | ST VINCENT'S MEDICAL CENTER SOUTHSIDE |
| Hospital Affiliation Ccn 2 | 100040 |
| Hospital Affiliation Lbn 2 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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