| Orlando Cruz Services Inc | |
|
2309 W Dr Martin Luther King Jr Blvd Ste 2 Tampa FL 33607-6496 | |
| (813) 348-3946 | |
| (813) 499-9070 |
| Full Name | Orlando Cruz Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2309 W Dr Martin Luther King Jr Blvd Ste 2, Tampa, Florida |
| Authorized Official Name and Position | Orlando Cruz Garcia (OWEN) |
| Authorized Official Contact | 7866563945 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orlando Cruz Services Inc 7608 Cypress Knee Dr Fl 34667 Hudson FL 34667-1446 Ph: (786) 656-3945 | Orlando Cruz Services Inc 2309 W Dr Martin Luther King Jr Blvd Ste 2 Tampa FL 33607-6496 Ph: (813) 348-3946 |
| NPI Number | 1396465019 |
|---|---|
| Provider Enumeration Date | 09/01/2022 |
| Last Update Date | 04/24/2024 |
| Medicare PECOS PAC ID | 0749650778 |
|---|---|
| Medicare Enrollment ID | O20230106002714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396465019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Gumersindo R Garcia Machado |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1902816259 PECOS PAC ID: 6305759721 Enrollment ID: I20100629000534 |
| Provider Name | Orlando Cruz Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285227462 PECOS PAC ID: 1658741681 Enrollment ID: I20230106002750 |
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