Individual
DR. MANUEL OMAR CRUZ-DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
258 S CHICKASAW TRL STE 202, ORLANDO, FL 32825-3501
(407) 303-6865
Mailing address
258 S CHICKASAW TRL STE 202, ORLANDO, FL 32825-3501
(407) 303-6865
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
ME117509
FL
2088P0231X
Pediatric Urology Physician
Q1584
TX
208D00000X
General Practice Physician
18056
PR
Other
Enumeration date
04/21/2008
Last updated
03/12/2024
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