Provider Demographics
NPI:1215554134
Name:DELGADO, TANTHIA CHANEL
Entity Type:Individual
Prefix:
First Name:TANTHIA
Middle Name:CHANEL
Last Name:DELGADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12018 TUSCANY BAY DR APT 101
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-1371
Mailing Address - Country:US
Mailing Address - Phone:757-663-9978
Mailing Address - Fax:
Practice Address - Street 1:SEQUEL CARE OF FLORIDA
Practice Address - Street 2:3491 GANDY BLVD
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781
Practice Address - Country:US
Practice Address - Phone:727-547-0607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-26
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker