Wilson Tadeu Cruz, | |
1501 S 27th St, Fort Pierce, FL 34947-5701 | |
(772) 342-5485 | |
Not Available |
Full Name | Wilson Tadeu Cruz |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1501 S 27th St, Fort Pierce, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619683778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11023000 (Florida) | Primary |
Entity Name | Mcr Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255376000 PECOS PAC ID: 7214847995 Enrollment ID: O20040126000213 |
Entity Name | Balanced Wellbeing Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336513639 PECOS PAC ID: 5193021848 Enrollment ID: O20160307002587 |
Mailing Address | Practice Location Address |
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Wilson Tadeu Cruz, 1501 S 27th St, Fort Pierce, FL 34947-5701 Ph: (772) 342-5485 | Wilson Tadeu Cruz, 1501 S 27th St, Fort Pierce, FL 34947-5701 Ph: (772) 342-5485 |
Ms. Kelli Kraaz, ARNP- FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3307 N Indian River Dr, Fort Pierce, FL 34946 Phone: 772-528-5991 | |
Arielle Tango, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2504 Acorn St Ste A, Fort Pierce, FL 34947 Phone: 772-837-7800 Fax: 772-837-7801 | |
Mrs. Denise Angele Joseph, A.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 Frist Blvd, Suite 3, Fort Pierce, FL 34950 Phone: 772-429-3400 Fax: 772-429-3410 | |
Ms. Nancy Lee Harris, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5600 N Us Highway 1 # Le214, Fort Pierce, FL 34946 Phone: 772-242-2420 | |
Tammy Mae Holmes, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1423 S Us Highway 1, Fort Pierce, FL 34950 Phone: 772-466-6855 Fax: 772-464-6983 | |
Natalie Gordon, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2401 Frist Blvd Ste 1, Fort Pierce, FL 34950 Phone: 772-464-0033 | |
Christine Palmer Monday, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 S 23rd St, Fort Pierce, FL 34950 Phone: 772-461-4000 |