| Cypress Creek Chiropractic And Wellness, Pl | |
|
2304 Crestover Ln, Suite 102, Wesley Chapel, FL 33544-6788 | |
| (813) 994-5455 | |
| (813) 994-4656 |
| Full Name | Cypress Creek Chiropractic And Wellness, Pl |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2304 Crestover Ln, Wesley Chapel, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235395278 | NPI | - | NPPES |
| 1326071929 | Other | FL | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 111N00000X (Florida) | Primary |
| Provider Name | Micah T Richeson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1326071929 PECOS PAC ID: 4284784794 Enrollment ID: I20090603000630 |
| Mailing Address | Practice Location Address |
|---|---|
| Cypress Creek Chiropractic And Wellness, Pl 2304 Crestover Ln, Suite 102, Wesley Chapel, FL 33544-6788 Ph: (813) 994-5455 | Cypress Creek Chiropractic And Wellness, Pl 2304 Crestover Ln, Suite 102, Wesley Chapel, FL 33544-6788 Ph: (813) 994-5455 |
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