Feliz De La Cruz, Luis J

Feliz De La Cruz, Luis J is an individual health care provider with primary practice located at 9400 Turkey Lake Rd Mp 452, Orlando FL 32819-8001. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Feliz De La Cruz, Luis J can be contacted via phone (321) 843-5500.

Contact Information

Primary practice address
9400 Turkey Lake Rd Mp 452 Orlando FL 32819-8001
Phone: (321) 843-5500
Fax: (321) 843-5550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 125-050185 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 46890 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME113750 Florida

Profile Details

NPI number 1407035306
LBN Legal business name Feliz De La Cruz, Luis J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2007
Last updated Nov 14th, 2016 - about 9 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 1407035306 NPPES
Florida MEDICAID 006120000
Florida Other ME113750

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