HYDRATONIC MED SPA, LLC
NPI 1134900798
Clinic/Center - Primary Care in Clewiston, FL

Active since October 10, 2023
1012 MISSISSIPPI AVE, CLEWISTON, FL 33440(863) 254-7363 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 16, 2023, Oct 10, 2023 (2 updates tracked since 2023).

About Hydratonic Med Spa, Llc NPPES

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

HYDRATONIC MED SPA, LLC (NPI 1134900798), doing business as Tamika Cooke, is a healthcare organization registered as a primary care in Clewiston, Florida and active in the NPI registry since October 2023. The organization lists Tamika Cooke, Aprn-c/ceo, as its authorized official.

NPPES Registry Identity

NPI1134900798
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHYDRATONIC MED SPA, LLC
Location Address1012 MISSISSIPPI AVEClewiston, FL 33440-5511
Mailing AddressPo Box 824Clewiston, FL 33440-0824 · (863) 254-7363
Organization SubpartNo
Authorized OfficialTamika CookeAprn-c/ceo · (863) 254-7363
Enumeration DateOctober 10, 2023
Last NPPES UpdateOctober 10, 20232 updates tracked since enumeration
NPPES CertifiedOctober 10, 2023
✔ NPI 1134900798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1012 MISSISSIPPI AVE, Clewiston, FL 33440

Other Names 1

Doing Business AsTamika Cooke

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Gerontology)
1012 MISSISSIPPI AVE
CLEWISTON, FL 33440

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 Hydratonic Med Spa, LLC's NPI number?

The NPI number for Hydratonic Med Spa, LLC is 1134900798. It was assigned to this organization in the NPPES registry on October 10, 2023. The provider is doing business as Tamika Cooke.

Where is Hydratonic Med Spa, LLC located?

Hydratonic Med Spa, LLC is located at 1012 Mississippi Ave, Clewiston, FL 33440. The listed phone number is (863) 254-7363.

What is Hydratonic Med Spa, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Hydratonic Med Spa, LLC was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.