Edward Tanza Jr., DC

Chiropractor · Saint Augustine, FL

Individual Active NPI

NPI number 1083779557

Practice location

52 Tuscan Way
Ste. 202-148
Saint Augustine, FL 32092-1850
Phone
(904) 290-1846
Fax
(904) 417-7177

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NPI record

NPI
1083779557
Entity type
Individual (Type 1)
Enumeration date
December 26, 2006
Last updated
January 4, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X CH9791 FL

About Dr. Tanza

Edward Tanza Jr., DC is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 52 Tuscan Way, Ste. 202-148, Saint Augustine, FL 32092-1850. The NPI number 1083779557 was assigned on December 26, 2006 and the record was last updated on January 4, 2013.

Dr. Tanza lists a license in the registry: #CH9791 (FL) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Edward Tanza Jr., DC?

The NPI number is 1083779557.

What is the phone number of Dr. Tanza?

The phone number listed for the practice location is (904) 290-1846.

Where is Dr. Tanza located?

52 Tuscan Way, Ste. 202-148, Saint Augustine, FL 32092-1850.

What is the taxonomy code for Dr. Tanza?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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