Individual
IRISELIS CRUZADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1300 N WEST SHORE BLVD STE 240, TAMPA, FL 33607-4629
(813) 636-8300
(813) 636-8301
Mailing address
11305 MAYBROOK AVE, RIVERVIEW, FL 33569-5951
(407) 754-6325
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9116565
FL
Other
Enumeration date
09/30/2022
Last updated
07/03/2024
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