Doctor Name: | DR. TANYA PERICH |
NPI Number: | 1750661666 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | UO2833 |
Business Practice Address: | 2025 Indian Rocks Rd S Largo, FL - 337741035 |
Business Phone Number: | 7275867103 |
Business Fax Number: | 7275857205 |
Mailing Address: | 2020 Seven Springs Blvd, NEW PORT RICHEY |
State: | FL |
Postal Code: | 34655 |
Phone Number: | 7273721311 |
Fax Number: | 7273727866 |
NPI Enumeration Date: | 08/23/2011 |
NPI Last Update Date: | 12/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | UO2833 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |