| Hydratonic Med Spa, Llc | |
|
1012 Mississippi Ave Clewiston FL 33440-5511 | |
| (863) 254-7363 | |
| Not Available |
| Full Name | Hydratonic Med Spa, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1012 Mississippi Ave, Clewiston, Florida |
| Authorized Official Name and Position | Tamika Cooke (APRN-C/CEO) |
| Authorized Official Contact | 8632547363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hydratonic Med Spa, Llc Po Box 824 Clewiston FL 33440-0824 Ph: (863) 254-7363 | Hydratonic Med Spa, Llc 1012 Mississippi Ave Clewiston FL 33440-5511 Ph: (863) 254-7363 |
| NPI Number | 1134900798 |
|---|---|
| Provider Enumeration Date | 10/10/2023 |
| Last Update Date | 10/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134900798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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