Provider Demographics
NPI:1861634537
Name:VARGAS, TANIA CRISTINA (MS)
Entity Type:Individual
Prefix:MRS
First Name:TANIA
Middle Name:CRISTINA
Last Name:VARGAS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MISS
Other - First Name:TANIA
Other - Middle Name:CRISTINA
Other - Last Name:CANTYMAGLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:492 WESTFORD CIR
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-6134
Mailing Address - Country:US
Mailing Address - Phone:813-451-3354
Mailing Address - Fax:
Practice Address - Street 1:4223 W SAN LUIS ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33629-7717
Practice Address - Country:US
Practice Address - Phone:727-560-2207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-27
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA11457235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist