Individual
MS. SOR INES CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.R.C
Contact information
Practice address
4446 FOUR LAKES DR, MELBOURNE, FL 32940-1247
(321) 253-1566
Mailing address
4446 FOUR LAKES DR, MELBOURNE, FL 32940-1247
(321) 253-1566
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
00815
PR
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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