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NPI Code Detail

MEDICARE: DR. RICHARD TANTILLO FAMILY CHIROPRACTIC CENTER INC

MEDICARE: DR. RICHARD TANTILLO FAMILY CHIROPRACTIC CENTER INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCH8026FL

General Provider Information

NPI Number : 1598092025
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. RICHARD TANTILLO FAMILY CHIROPRACTIC CENTER INC
Provider Business Mailing Address
First Line : 2919 ALTERNATE 19
Second Line :
City : PALM HARBOR
State : FL
Zip : 34683
Country : US
Telephone Number : 727-784-1222
Fax Number : 727-784-7888
Provider Business Practice Location Address
First Line : 2919 ALTERNATE 19
Second Line :
City : PALM HARBOR
State : FL
Zip : 34683
Country : US
Telephone Number : 727-784-1222
Fax Number : 727-784-7888
Authorized Official
Title or Position : PRESIDENT/CHIROPRACTIC PHYSICIAN
Name : DR. RICHARD TANTILLO
Credential : DC
Telephone Number : 727-784-1222
Provider Enumeration Date : 11/04/2009
Last Update Date : 11/30/2010

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Directions to “DR. RICHARD TANTILLO FAMILY CHIROPRACTIC CENTER INC ” Practice Location

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