Individual
MARIA E DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
200 PARK PLACE BLVD, KISSIMMEE, FL 34741-2344
(407) 846-0023
(407) 483-0378
Mailing address
PO BOX 3340, WINDERMERE, FL 34786-3321
(407) 758-6370
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11000482
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
11000482
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
11000482
FL
Other
Enumeration date
12/07/2018
Last updated
12/17/2025
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