Cruse, Carl Wayne

Cruse, Carl Wayne is an individual health care provider with primary practice located at 12901 Bruce B Downs Blvd , Tampa FL 33612-4742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Cruse, Carl Wayne can be contacted via phone (813) 259-0800.

Contact Information

Primary practice address
12901 Bruce B Downs Blvd Tampa FL 33612-4742
Phone: (813) 259-0800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X ME21250 Florida

Profile Details

NPI number 1568474997
LBN Legal business name Cruse, Carl Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Mar 31st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568474997 NPPES
Florida Other 30234 BLUE CROSS BLUE SHIELD
Florida MEDICAID 039206500 BLUE CROSS BLUE SHIELD

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