Organization
DAVENPORT BEHAVIORAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FRAINELYS CRUZ PMHNP (PROVIDER)
(321) 278-4084
Entity
Organization
Contact information
Practice address
19 N 6TH STREET, 19A, HAINES CITY, FL 33844
(321) 663-6375
Mailing address
109 AMBERSWEET WAY, DAVENPORT, FL 33897-8418
(321) 663-6375
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
10/21/2021
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