MEDICARE: DR. TASHYANA PLANTILLA, D.C., PLLC

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

General Provider Information

NPI Number	:	1952960536
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. TASHYANA PLANTILLA, D.C., PLLC

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	:

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	:	MANAGER
Name	:	DR. TASHYANA PLANTILLA
Credential	:	DC
Telephone Number	:	727-232-6000

Provider Enumeration Date	:	06/07/2019
Last Update Date	:	01/15/2020

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