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Individual
MS. YVETTE LYNN CRUZ
Active
Individual
MS. YVETTE LYNN CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9104295
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016953300
—
FL
01
—
CI12Z
FLORIDA BLUE
FL
01
—
P00729869
RAILROAD MEDICARE
FL
Enumeration date
02/19/2007
Last updated
05/05/2016
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