Individual
JEAN CARLOS MARTINEZ CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1222 10TH ST, SAINT CLOUD, FL 34769-3343
(407) 593-0323
(407) 593-0324
Mailing address
1222 10TH ST, SAINT CLOUD, FL 34769-3343
(407) 593-0323
(407) 593-0324
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1153
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102989000
—
FL
05
—
122891800
—
FL
Enumeration date
05/03/2016
Last updated
04/09/2026
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