Individual
DR. AMANDA CRUZ-DEWEESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
841 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8329
(904) 396-5682
Mailing address
12995 HUNTLEY MANOR DR, JACKSONVILLE, FL 32224-7911
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
15296
FL
Other
Enumeration date
06/16/2015
Last updated
07/09/2021
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