Provider Demographics
NPI:1750661666
Name:PERICH, TANYA D (DO)
Entity Type:Individual
Prefix:DR
First Name:TANYA
Middle Name:D
Last Name:PERICH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2020 SEVEN SPRINGS BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-3933
Mailing Address - Country:US
Mailing Address - Phone:727-372-1311
Mailing Address - Fax:727-372-7866
Practice Address - Street 1:2020 SEVEN SPRINGS BLVD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-3933
Practice Address - Country:US
Practice Address - Phone:727-372-1311
Practice Address - Fax:727-372-7866
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-23
Last Update Date:2018-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLUO2833208D00000X
FLOS11958207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice