Organization
KETAMINE HEALTH CENTERS AT BONITA SPRINGS, LLC
Active
Organization
KETAMINE HEALTH CENTERS AT BONITA SPRINGS, LLC
Active
Other names
Ketamine Health Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL A CRUZ MD (OWNER)
(305) 856-9442
Entity
Organization
Contact information
Practice address
26800 S TAMIAMI TRL STE 310, BONITA SPRINGS, FL 34134-4348
(305) 856-9442
Mailing address
1430 S DIXIE HWY STE 204, CORAL GABLES, FL 33146-3127
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
07/31/2023
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