DR. Edward Tanza JR., DC

NPI #1083779557 in Saint Augustine, Florida

Provider Information

NPI Number: 1083779557
Entity Type: Individual
Name: DR. Edward Tanza JR., DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Dec 26, 2006
Last Updated: Jan 4, 2013

Practice Location

Address: 52 TUSCAN WAY
Address 2: STE. 202-148
City: Saint Augustine
State: Florida
ZIP Code: 32092-1850
Phone: (904) 290-1846

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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