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Organization
CYPRESS CREEK CHIROPRACTIC AND WELLNESS, PL
Active
Organization
CYPRESS CREEK CHIROPRACTIC AND WELLNESS, PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICAH THOMAS RICHESON D.C. (CHIROPRACTOR)
(813) 994-5455
Entity
Organization
Contact information
Practice address
2304 CRESTOVER LN, SUITE 102, WESLEY CHAPEL, FL 33544-6788
(813) 994-5455
(813) 994-4656
Mailing address
2304 CRESTOVER LN, SUITE 102, WESLEY CHAPEL, FL 33544-6788
(813) 994-5455
(813) 994-4656
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
111N00000X
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326071929
INDIVIDUAL NPI NUMBER
FL
Enumeration date
07/30/2008
Last updated
05/19/2009
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