Provider Demographics
NPI:1952960536
Name:DR. TASHYANA PLANTILLA, D.C., PLLC
Entity Type:Organization
Organization Name:DR. TASHYANA PLANTILLA, D.C., PLLC
Other - Org Name:CONSTELLATION CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:TASHYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PLANTILLA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:727-232-6000
Mailing Address - Street 1:8350 LITTLE RD UNIT 105
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34654-4919
Mailing Address - Country:US
Mailing Address - Phone:727-232-6000
Mailing Address - Fax:
Practice Address - Street 1:8350 LITTLE RD UNIT 105
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34654-4919
Practice Address - Country:US
Practice Address - Phone:727-232-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-07
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty