Organization
GENTLE FOOT CARE CLINIC, PA
Active
Other names
Gentle Foot Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JAIRO B CRUZ DPM (MEDICAL DIRECTOR/OWNER)
(813) 782-3233
Entity
Organization
Contact information
Practice address
38192 MEDICAL CENTER AVE, ZEPHYRHILLS, FL 33540-1380
(813) 782-3233
(813) 502-5904
Mailing address
38192 MEDICAL CENTER AVE., ZEPHYRHILLS, FL 33540
(813) 782-3233
(813) 782-5332
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114053400
—
FL
01
—
DB7111
RR MCARE
FL
01
—
K5490
MEDICARE GROUP
FL
01
—
O0PH6
BCBS
FL
Enumeration date
08/09/2006
Last updated
01/03/2023
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