Individual
CRUZ MAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
1515 26TH AVE E, BRADENTON, FL 34208-7707
(941) 708-7631
(941) 708-8619
Mailing address
1515 26TH AVE E, BRADENTON, FL 34208-7707
(941) 708-7631
(941) 708-8619
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN9284388
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN9284388
REGISTERED NURSE LICENSE
FL
Enumeration date
04/09/2010
Last updated
04/09/2010
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