Organization
KETAMINE HEALTH CENTERS OF WESTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL A CRUZ MD (OWNER)
(305) 793-4855
Entity
Organization
Contact information
Practice address
1290 WESTON RD STE 203B, WESTON, FL 33326-1909
(954) 237-1303
Mailing address
5745 SW 51ST ST, MIAMI, FL 33155-6317
(305) 793-4855
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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