Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cypress Crown Dermatology PLLC

Organization Dermatology Physician · NPI 1073409868

Cypress Crown Dermatology PLLC is a Dermatology Physician in Davenport, Florida. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

130 Ridge Center Dr Ste 203
Davenport, FL 33837-6416
Phone: (863) 667-6647
Fax: (312) 276-8889
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X

Record details

NPI number1073409868
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Tung — Owner · (216) 246-0269
NPI enumeratedJune 17, 2025
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address229 W Lake Summit Dr, Winter Haven, FL 33884-1528

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