Provider Demographics
NPI:1871784140
Name:HLINKA, TANYA M (DC)
Entity type:Individual
Prefix:
First Name:TANYA
Middle Name:M
Last Name:HLINKA
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:PO BOX 811842
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33481-1842
Mailing Address - Country:US
Mailing Address - Phone:561-542-4084
Mailing Address - Fax:561-750-8017
Practice Address - Street 1:4331 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-5127
Practice Address - Country:US
Practice Address - Phone:561-391-2221
Practice Address - Fax:561-750-8017
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-02
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0007130111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55648Medicare UPIN