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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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