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CYPRESS CROWN DERMATOLOGY PLLC
NPI 1073409868
Dermatology in Davenport, FL

Active since June 17, 2025CLIA 10D2328721 · Certificate of Compliance
130 RIDGE CENTER DR STE 203, DAVENPORT, FL 33837(863) 667-6647(312) 276-8889 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cypress Crown Dermatology Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CYPRESS CROWN DERMATOLOGY PLLC (NPI 1073409868) is a healthcare organization registered as a dermatology in Davenport, Florida and active in the NPI registry since June 2025. The organization holds a CLIA Certificate of Compliance certificate valid through August 14, 2027 and lists Rebecca Tung, Owner, as its authorized official.

NPPES Registry Identity

NPI1073409868
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCYPRESS CROWN DERMATOLOGY PLLC
Location Address130 RIDGE CENTER DR STE 203Davenport, FL 33837-6416
Mailing Address229 W Lake Summit DrWinter Haven, FL 33884-1528 · (216) 246-0269 · Fax (312) 276-8889
Phone(863) 667-6647
Fax(312) 276-8889
Organization SubpartNo
Authorized OfficialRebecca TungOwner · (216) 246-0269
Enumeration DateJune 17, 2025
NPPES CertifiedJune 17, 2025
✔ NPI 1073409868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
130 RIDGE CENTER DR STE 203, Davenport, FL 33837
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2328721

Cypress Crown Dermatology PLLC · Davenport, FL
Active · expires Aug 14, 2027
CLIA Number10D2328721
Laboratory TypePhysician Office
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorRebecca C. Tung
Laboratory Phone(863) 667-6647
Laboratory LocationCypress Crown Dermatology PLLC130 Ridge Center Drive Suite 203, Davenport, FL 33837
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA CLARE TUNG MD
Dermatology
130 RIDGE CENTER DR STE 203
DAVENPORT, FL 33837
Polk County (863) 667-6647

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cypress Crown Dermatology PLLC's NPI number?

The NPI number for Cypress Crown Dermatology PLLC is 1073409868. It was assigned to this organization in the NPPES registry on June 17, 2025.

Where is Cypress Crown Dermatology PLLC located?

Cypress Crown Dermatology PLLC is located at 130 Ridge Center Dr Ste 203, Davenport, FL 33837. The listed phone number is (863) 667-6647.

What is Cypress Crown Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Cypress Crown Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2328721) is associated with this NPI, valid through August 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cypress Crown Dermatology PLLC was last updated on June 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.