Individual
DR. EDWARD TANZA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
52 TUSCAN WAY, STE. 202-148, SAINT AUGUSTINE, FL 32092-1850
(904) 290-1846
(904) 417-7177
Mailing address
52 TUSCAN WAY, STE. 202-148, SAINT AUGUSTINE, FL 32092-1850
(904) 290-1846
(904) 417-7177
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9791
FL
Other
Enumeration date
12/26/2006
Last updated
01/04/2013
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