Individual
DR. FEDERICO KALLMANN CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3617 W HILLSBOROUGH AVE, TAMPA, FL 33614-5713
(844) 665-4827
Mailing address
8400 NW 33RD ST, 101, DORAL, FL 33122-1937
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME78937
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258510300
—
FL
01
—
49425
BLUECROSS BLUESHIELD
FL
Enumeration date
05/24/2005
Last updated
08/31/2016
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