Spyglass Enterprises, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MT-1739 Issued in FL

Legal business name

SPYGLASS ENTERPRISES, INC.

Practice address

5318 Van Dyke Rd
Lutz, FL 33558-4829

Phone

(813) 258-1500

NPI assigned

Nov 6, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Brett P Krumenacker

Title

President

Phone

(813) 918-5906

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1285888982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 262513",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336852513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 VAN DYKE RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335584829",
            "telephone_number": "813-258-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPYGLASS ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "KRUMENACKER",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-918-5906",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MT-1739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Lutz, FL
• Providers in Lutz, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.