OrganizationActive
Hydratonic Med Spa, LLC
NPI 1134900798 · Primary Care Clinic/Center · Clewiston, FL
Provider details
- NPI number
- 1134900798
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tamika Cooke, Aprn-C/Ceo(863) 254-7363
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1012 Mississippi Ave
Clewiston, FL 33440-5511
Phone: (863) 254-7363
Street-level locationGet directions
Mailing address
Po Box 824
Clewiston, FL 33440-0824
Other names (DBA / former)
- Doing business as
- Tamika Cooke
Registry dates
- Enumerated
- 2023-10-10
- Last updated
- 2023-10-16
- Certified
- 2023-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.