| Spyglass Enterprises, Inc. | |
|
5318 Van Dyke Rd Lutz FL 33558-4829 | |
| (813) 258-1500 | |
| Not Available |
| Full Name | Spyglass Enterprises, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5318 Van Dyke Rd, Lutz, Florida |
| Authorized Official Name and Position | Brett P Krumenacker (PRESIDENT) |
| Authorized Official Contact | 8139185906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spyglass Enterprises, Inc. Po Box 262513 Tampa FL 33685-2513 Ph: () - | Spyglass Enterprises, Inc. 5318 Van Dyke Rd Lutz FL 33558-4829 Ph: (813) 258-1500 |
| NPI Number | 1285888982 |
|---|---|
| Provider Enumeration Date | 11/06/2008 |
| Last Update Date | 02/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285888982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MT-1739 (Florida) | Primary |
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