Provider Demographics
NPI:1689899619
Name:REID, TASHIA D (DC)
Entity Type:Individual
Prefix:DR
First Name:TASHIA
Middle Name:D
Last Name:REID
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 STATE ROAD 436 STE 2080
Mailing Address - Street 2:
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-5343
Mailing Address - Country:US
Mailing Address - Phone:407-574-8565
Mailing Address - Fax:407-530-0398
Practice Address - Street 1:500 STATE ROAD 436 STE 2080
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-5343
Practice Address - Country:US
Practice Address - Phone:407-574-8565
Practice Address - Fax:407-530-0398
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8558111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2414813004OtherACN UNITED HEALTHCARE
FL88759OtherBCBS