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Organization
BRENELLY LOZADA-CRUZ, MD, LLC
Active
Organization
BRENELLY LOZADA-CRUZ, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BRENELLY LOZADA-CRUZ MD (PRESIDENT AND OWNER)
(954) 594-9824
Entity
Organization
Contact information
Practice address
6405 N FEDERAL HWY STE 300, FORT LAUDERDALE, FL 33308-1414
(954) 772-0711
Mailing address
2051 CORAL HEIGHTS BLVD # 202, FORT LAUDERDALE, FL 33308-5216
(954) 594-9824
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
ME95048
FL
261QX0200X
Oncology Clinic/Center
Primary
ME95048
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2747740
—
FL
Enumeration date
01/18/2011
Last updated
01/18/2011
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