| Cruz Azul Of Wpb | |
|
6294 18th St S West Palm Bch FL 33415-5419 | |
| (561) 201-4016 | |
| Not Available |
| Full Name | Cruz Azul Of Wpb |
|---|---|
| Speciality | General Practice |
| Location | 6294 18th St S, West Palm Bch, Florida |
| Authorized Official Name and Position | Dacha Cruz (PRESIDENT) |
| Authorized Official Contact | 5612014016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cruz Azul Of Wpb 6294 18th St S West Palm Bch FL 33415-5419 Ph: (561) 201-4016 | Cruz Azul Of Wpb 6294 18th St S West Palm Bch FL 33415-5419 Ph: (561) 201-4016 |
| NPI Number | 1811278245 |
|---|---|
| Provider Enumeration Date | 08/30/2011 |
| Last Update Date | 08/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811278245 | NPI | - | NPPES |
| 1891785994 | Other | FL | COMERCIAL INSURANCES PPO HMO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | LE91892 (Florida) | Primary |
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