Cruz, Jersain Alberto

Cruz, Jersain Alberto is an individual health care provider with primary practice located at 1400 27Th St , Vero Beach FL 32960-0303. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Cruz, Jersain Alberto can be contacted via phone (772) 257-8224.

Contact Information

Primary practice address
1400 27Th St Vero Beach FL 32960-0303
Phone: (772) 257-8224
Fax: (772) 213-3157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9229979 Florida

Profile Details

NPI number 1043412059
LBN Legal business name Cruz, Jersain Alberto
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2007
Last updated May 9th, 2024 - about 2 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 1043412059 NPPES
Florida Other APRN9229979 MEDICAL LICENSE
Florida MEDICAID 120359000 MEDICAL LICENSE

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