MEDICARE: DR. TASHYANA PLANTILLA DC

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
1	111N00000X	Chiropractor	CH12734	FL

General Provider Information

NPI Number	:	1699230003
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TASHYANA PLANTILLA DC

Provider Business Mailing Address
First Line	:	8350 LITTLE RD UNIT 105
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-4919
Country	:	US
Telephone Number	:	727-232-6000
Fax Number	:	727-232-6010

Provider Business Practice Location Address
First Line	:	8350 LITTLE RD UNIT 105
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-4919
Country	:	US
Telephone Number	:	727-232-6000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2019
Last Update Date	:	01/15/2020

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