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Individual
DR. MARIJO S DE LA CRUZ
Active
Individual
DR. MARIJO S DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
058051
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261550900
—
FL
Enumeration date
02/06/2006
Last updated
06/25/2021
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