Individual
JENNIFER CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AP. DAOM.
Contact information
Practice address
13224 W BROWARD BLVD, PLANTATION, FL 33325-2228
(954) 400-5504
(954) 400-5503
Mailing address
100 NW 82ND AVE STE 405, PLANTATION, FL 33324-1835
(786) 236-6947
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP 3349
FL
171W00000X
Contractor
225700000
FL
225700000X
Massage Therapist
MA51421
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7635503
CAQH
FL
01
—
AP3349
LICENSED ACUPUNCTURIST
FL
01
—
MA51421
LICENSED MASSAGE THERAPIST
FL
Enumeration date
05/29/2008
Last updated
09/16/2021
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