Individual
SHIRLEY SUSANA CRUZ BELTRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-1501
(352) 273-8610
(352) 273-8612
Mailing address
1600 SW ARCHER RD BOX 100254, GAINESVILLE, FL 32610-0254
(352) 273-8610
(352) 273-8612
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME136626
FL
207LP3000X
Pediatric Anesthesiology Physician
ME136626
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103113700
—
FL
Enumeration date
06/27/2013
Last updated
02/03/2020
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