# JACOBO A CRUZ MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jacobo A Cruz MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952557183
- **Authorized official:** DR. JACOBO A CRUZ MD (PRESIDENT)
- **Authorized official phone:** (850) 484-7774

## Contact information

- **Practice address:** 4400 BAYOU BLVD, SUITE 51, PENSACOLA, FL 32503-2673
- **Practice address phone:** (850) 484-7774
- **Practice address fax:** (850) 484-8874
- **Mailing address:** 4400 BAYOU BLVD, SUITE 51, PENSACOLA, FL 32503-2673
- **Mailing address phone:** (850) 484-7774
- **Mailing address fax:** (850) 484-8874

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | ME48974 | FL | Yes |

## Other

- **Enumeration date:** 08/07/2008
- **Last updated:** 09/05/2008