| Cypress Creek Medical Spa | |
|
1942 Highland Oaks Blvd Suite A Lutz FL 33559-7410 | |
| (813) 948-3838 | |
| (813) 949-0629 |
| Full Name | Cypress Creek Medical Spa |
|---|---|
| Speciality | Family Medicine |
| Location | 1942 Highland Oaks Blvd, Lutz, Florida |
| Authorized Official Name and Position | Linda Rosequist (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8139483838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cypress Creek Medical Spa 26827 Foggy Creek Rd Suite 101a Wesley Chapel FL 33544-6768 Ph: (813) 973-7774 | Cypress Creek Medical Spa 1942 Highland Oaks Blvd Suite A Lutz FL 33559-7410 Ph: (813) 948-3838 |
| NPI Number | 1821372129 |
|---|---|
| Provider Enumeration Date | 10/05/2011 |
| Last Update Date | 10/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821372129 | NPI | - | NPPES |
| 34555 | Other | FL | BLUE CROSS BLUE SHIELD OF FLORIDA |
| CN4592 | Other | FL | RAILROAD RETIREMENT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0048283 (Florida) | Primary |
| 207R00000X | Internal Medicine | 0040424 (Florida) | Secondary |
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