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Individual

JOSE CRUZ BORJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3491 GANDY BLVD N STE 201, PINELLAS PARK, FL 33781-2654
(727) 547-0607
Mailing address
819 49TH AVE N, SAINT PETERSBURG, FL 33703-3730
(323) 252-0411

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
02/28/2019
Last updated
02/28/2019
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