| Cruz Medical And Wellness Services Llc | |
|
255 Citrus Tower Blvd Ste 202 Clermont FL 34711-1906 | |
| (352) 432-3289 | |
| (352) 432-3290 |
| Full Name | Cruz Medical And Wellness Services Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 255 Citrus Tower Blvd Ste 202, Clermont, Florida |
| Authorized Official Name and Position | Edgar Cruz (OWNER) |
| Authorized Official Contact | 3524323289 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cruz Medical And Wellness Services Llc 255 Citrus Tower Blvd Ste 202 Clermont FL 34711-1906 Ph: (352) 432-3289 | Cruz Medical And Wellness Services Llc 255 Citrus Tower Blvd Ste 202 Clermont FL 34711-1906 Ph: (352) 432-3289 |
| NPI Number | 1114776176 |
|---|---|
| Provider Enumeration Date | 05/14/2024 |
| Last Update Date | 05/14/2024 |
| Medicare PECOS PAC ID | 4284176009 |
|---|---|
| Medicare Enrollment ID | O20240607003557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114776176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Edgar Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578662581 PECOS PAC ID: 1052374923 Enrollment ID: I20131018001473 |
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