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Individual
YANET REYES CRUZ
Active
Individual
YANET REYES CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9246592
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103290500
—
FL
01
—
JEVMV
BCBS
FL
01
—
LI987
MEDICARE
FL
Enumeration date
06/30/2018
Last updated
08/27/2020
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