Cypress Creek Medical Spa

NPI #1821372129 in Lutz, Florida

Provider Information

NPI Number: 1821372129
Entity Type: Organization
Organization Name: Cypress Creek Medical Spa
Subpart: Yes (part of a larger organization)
Parent Organization: FAMILYCARE OF LAND O LAKES, PA
Primary Specialty: Family Medicine
Enumeration Date: Oct 5, 2011
Last Updated: Oct 5, 2011

Practice Location

Address: 1942 HIGHLAND OAKS BLVD
Address 2: SUITE A
City: Lutz
State: Florida
ZIP Code: 33559-7410
Phone: (813) 948-3838

Authorized Official

Name: MRS. LINDA ROSEQUIST
Title: PRACTICE ADMINISTRATOR
Phone: (813) 948-3838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Family Medicine	207Q00000X	Primary

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