DR. EDWARD TANZA JR. (NPI# 1083779557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083779557 |
| Entity Type | Individual |
| Full Name | DR. EDWARD TANZA JR. |
| Credential | DC |
| Practice Address |
52 Tuscan Way Ste. 202-148 Saint Augustine FL 32092-1850 |
| Practice Telephone | 9042901846 |
| Practice Fax Number | 9044177177 |
| Mailing Telephone | 9042901846 |
| Mailing Fax Number | 9044177177 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2013-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH9791 | FL | Chiropractic Providers |
| Street Address |
52 TUSCAN WAY STE. 202-148 |
| City | SAINT AUGUSTINE |
| State | FL |
| Zip Code | 32092-1850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306103353 | Phoenix Cm Incorporated | Case Manager/Care Coordinator | 52 Tuscan Way, Ste. 202-142, Saint Augustine, FL 32092-1850 | 2012-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124670146 | Kaitlyn Thomas | Speech-Language Pathologist | 111 Nature Walk Pkwy # B101, Saint Augustine, FL 32092 | 2019-07-10 |
| 1386168359 | Westminster Pines, Inc. | Skilled Nursing Facility | 235 Towerview Drive, St. Augustine, FL 32092 | 2017-08-01 |
| 1255852471 | St Vincent's Urgent Care Inc | Clinic/Center | 2001 Country Road 210 West, St Augustine, FL 32092 | 2017-06-28 |
| 1649702291 | Leonard Volpe | Physician Assistant | 745 Porta Rosa Cir, St Augustine, FL 32092 | 2017-04-03 |
| 1740630425 | Sierra Danielle Shultz | Behavioral Analyst | 2590 C H Arnold Rd, Saint Augustine, FL 32092 | 2016-06-14 |
| 1023467347 | Marylin Palackel James | Family Medicine | 110 Hampton Point Dr, St Augustine, FL 32092 | 2016-06-07 |
| 1790146462 | Florida Autism Center | Community/Behavioral Health | 124 Capulet Drive, St Augustine, FL 32092 | 2016-03-09 |
| 1174901458 | Kaylan Brady | Pediatrics | 70 Turin Terrace, Suite 220, St Augustine, FL 32092 | 2015-05-07 |
| 1245620368 | Angela Sanchez | Physician Assistant | 229 Adelanto Ave, St Augustine, FL 32092 | 2015-01-27 |
| 1053723700 | David Hamilton | Dentist | 149 Tuscan Way, St. Augustine, FL 32092 | 2014-05-29 |
| Find all providers in zip 32092 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290320 | Changing Tides Chiropractic & Wellness, LLC. | Chiropractor | 1000 Plantation Island Dr S Ste 9, Saint Augustine, FL 32080-3106 | 2018-10-03 |
| 1942682067 | Thrive Chiropractic & Yoga LLC | Chiropractor | 193 San Marco Ave, Saint Augustine, FL 32084-2733 | 2015-06-25 |
| 1548642085 | Kristi Barnewolt | Chiropractor | 2208 Commodores Club Blvd, Saint Augustine, FL 32080-9161 | 2015-06-21 |
| 1245632017 | Bradley Havlicek | Chiropractor | 2085 A1a S, Ste 103, Saint Augustine, FL 32080-6505 | 2014-09-23 |
| 1417235276 | Relyon Chiropractic and Rehab Inc | Chiropractor | 140 Calle El Jardin, Unit 201, Saint Augustine, FL 32095-6885 | 2011-07-28 |
| 1225325806 | Mark Thomas Murphy | Chiropractor | 1884 S Cappero Dr, Saint Augustine, FL 32092-4768 | 2011-07-05 |
| 1114252699 | Gary Douglas Kines | Chiropractor | 140 Calle Eljardin, Unit 201, Saint Augustine, FL 32095-6885 | 2009-10-16 |
| 1194982348 | Danita Thomas Heagy, D.c., LLC | Chiropractor | 4425 Us Highway 1 S Ste 109, Saint Augustine, FL 32086-3127 | 2008-05-16 |
| 1891997888 | John K Worz | Chiropractor | 150 Kent Rd, Suite 1a, Saint Augustine, FL 32086-6350 | 2007-06-03 |
| 1598849259 | Jennifer Finger Allen | Chiropractor | 304 Kingsley Lake Dr, #603, Saint Augustine, FL 32092-3042 | 2006-10-25 |
| Find all providers in SAINT AUGUSTINE | ||||
| City | SAINT AUGUSTINE |
| Zip Code | 32092 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.