Individual
THALIA LEON CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1116 E MOWRY DR, HOMESTEAD, FL 33030-8210
(786) 234-0200
Mailing address
1116 E MOWRY DR APT 102, HOMESTEAD, FL 33030-8169
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
11046415
FL
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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