Organization Active NPI

Cypress Wellness Center , Inc

  • Clinic/Center
  • Lutz, FL
National Provider Identifier
1215264064
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MM23847 Issued in FL
Legal business name
CYPRESS WELLNESS CENTER , INC
Practice address
1528 Land O Lakes Blvd
Suite 102
Lutz, FL 33549-2903
Phone
(813) 876-4686
Fax
(888) 798-9304
NPI assigned
Nov 14, 2009
Last updated
Dec 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Nohora Patricia Triana, L.M.TNPI 1114048717
Title
Owner
Phone
(813) 876-4686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MM23847 FL Primary

Addresses

Primary practice location

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

Mailing address

1528 Land O Lakes Blvd
Suite 102
Lutz, FL 33549-2903
Phone (813) 876-4686

National Provider Directory

National Provider Directory

Locations

1528 Land O Lakes Blvd
Ste 102
Lutz, FL 33549
Phone (813) 335-1173

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1215264064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 LAND O LAKES BLVD",
            "address_2": "SUITE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335492903",
            "telephone_number": "813-876-4686",
            "fax_number": "888-798-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 LAND O LAKES BLVD",
            "address_2": "SUITE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335492903",
            "telephone_number": "813-876-4686",
            "fax_number": "888-798-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS WELLNESS CENTER , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-14",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "TRIANA",
        "authorized_official_first_name": "NOHORA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-876-4686",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.M.T"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "MM23847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.