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Individual

HOWARD K CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1480 US HIGHWAY 17 N, WAUCHULA, FL 33873-5006
(863) 773-6111
(863) 773-9576
Mailing address
1480 US HIGHWAY 17 N, WAUCHULA, FL 33873-5006

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO05812
FL

Other

Enumeration date
12/04/2023
Last updated
12/04/2023
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