Cruz, Evelyn

Cruz, Evelyn is an sole proprietor health care provider with primary practice located at 9611 W Broward Blvd , Plantation FL 33324-2334. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Cruz, Evelyn can be contacted via phone (954) 424-7000.

Contact Information

Primary practice address
9611 W Broward Blvd Plantation FL 33324-2334
Phone: (954) 424-7000
Fax: (954) 424-6003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN3055982 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN3055982 Florida

Profile Details

NPI number 1417015447
LBN Legal business name Cruz, Evelyn
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2006
Last updated Jul 5th, 2023 - about 3 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 1417015447 NPPES
Florida MEDICAID 024137400

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