Individual
IRISELIS CRUZADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2650 BAHIA VISTA ST STE 204, SARASOTA, FL 34239-2625
(941) 202-1999
(941) 202-2009
Mailing address
11305 MAYBROOK AVE, RIVERVIEW, FL 33569-5951
(407) 754-6325
(941) 202-2009
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9116565
FL
Other
Enumeration date
09/30/2022
Last updated
07/31/2026
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