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Individual
OCTAVIO DE JESUS CRUZ MARTINEZ
Active
Individual
OCTAVIO DE JESUS CRUZ MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11010804
FL
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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