Individual
MRS. TAMARA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5738 IVY LN, HOLIDAY, FL 34690-4518
(727) 916-3078
(727) 916-3078
Mailing address
5738 IVY LN, HOLIDAY, FL 34690-4518
(727) 916-3078
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
FL
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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