# DR. JACQUELINE STEPHANIE DE LA CRUZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1467276295
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ACN1719 | FL | Yes |

## Other

- **Enumeration date:** 11/08/2024
- **Last updated:** 06/19/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 126547500 | — | FL |