Cruz, Jose Luis

Cruz, Jose Luis is an sole proprietor health care provider with primary practice located at 4730 N Habana Ave Ste 300 , Tampa FL 33614-7148. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Cruz, Jose Luis can be contacted via phone (813) 876-7700.

Contact Information

Primary practice address
4730 N Habana Ave Ste 300 Tampa FL 33614-7148
Phone: (813) 876-7700
Fax: (813) 876-8700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X ME93347 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME93347 Florida

Profile Details

NPI number 1841230240
LBN Legal business name Cruz, Jose Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated Mar 23rd, 2022 - 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 1841230240 NPPES
Florida MEDICAID 280564200
Florida MEDICAID 003245000

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