Organization
SPYGLASS ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT P KRUMENACKER (PRESIDENT)
(813) 918-5906
Entity
Organization
Contact information
Practice address
5318 VAN DYKE RD, LUTZ, FL 33558-4829
(813) 258-1500
Mailing address
PO BOX 262513, TAMPA, FL 33685-2513
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MT-1739
FL
Other
Enumeration date
11/06/2008
Last updated
02/24/2012
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