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Organization
MDSIDE
Active
Organization
MDSIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR DAMASO CRUZ MD (MANAGING MEMBER)
(813) 808-3142
Entity
Organization
Contact information
Practice address
109 N 12TH ST STE 1105, TAMPA, FL 33602-3686
(813) 808-3142
(813) 591-4522
Mailing address
401 E JACKSON ST STE 2340-K14, TAMPA, FL 33602-5233
(800) 579-6971
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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