Individual
OMAR MELIZ CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11541 NW 58TH AVE, HIALEAH, FL 33012-6626
(786) 416-1081
Mailing address
11541 NW 58TH AVE, HIALEAH, FL 33012-6626
(786) 416-1081
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11018589
FL
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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