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Individual
JERSAIN ALBERTO CRUZ
Active
Individual
JERSAIN ALBERTO CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN9229979
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120359000
—
FL
01
—
APRN9229979
MEDICAL LICENSE
FL
Enumeration date
06/01/2007
Last updated
05/09/2024
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