Individual
AVELITA DELA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7105 50TH AVE N, ST PETERSBURG, FL 33709-2701
(727) 674-5063
Mailing address
7105 50TH AVE N, ST PETERSBURG, FL 33709-2701
(727) 674-5063
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
1244461
FL
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
691998796
—
FL
Enumeration date
10/25/2021
Last updated
11/29/2021
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