Individual
DIOMEL DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, #100371, GAINESVILLE, FL 32610-3001
(352) 265-0301
Mailing address
1600 SW ARCHER RD, #100371, GAINESVILLE, FL 32610-3001
(352) 265-0301
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME122052
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015177200
—
FL
Enumeration date
06/26/2009
Last updated
02/24/2017
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