Organization · NPI-2

Cypress Wellness Center , INC

Clinic/Center · Lutz, FL

NPI number1215264064
StatusActive
Last updated in NPPESDec 29, 2011

Details

NPI
1215264064
Entity type
Organization (NPI-2)
Legal business name
Cypress Wellness Center , INC
Organization subpart
No
Enumeration date
Nov 14, 2009
Last updated
Dec 29, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/CenterMM23847FLYes

Practice location

1528 Land O Lakes Blvd
Suite 102
Lutz, FL 33549-2903

Phone 813-876-4686 · Fax 888-798-9304

Mailing address

1528 Land O Lakes Blvd
Suite 102
Lutz, FL 33549-2903

Phone 813-876-4686 · Fax 888-798-9304

Authorized official

Nohora Patricia Triana
Owner
8138764686

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