Individual
BARBARA LEIGH CRUIKSHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2300 PARK AVE STE 200, ORANGE PARK, FL 32073-5571
(904) 269-2900
(904) 269-1140
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0052191
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05937
BCBS
FL
01
—
320007628
HUMANA
FL
01
—
4618068
AETNA
FL
Enumeration date
01/18/2007
Last updated
11/22/2019
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