Individual
DEENA CRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 NW 19TH PL, GAINESVILLE, FL 32605-3434
(352) 226-4400
Mailing address
4800 NW 19TH PL, GAINESVILLE, FL 32605-3434
(352) 226-4400
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
100079811
FL
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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