Individual
DOMILIO JOEL CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
701 6TH ST S, ST PETERSBURG, FL 33701-4814
(727) 893-6430
(727) 893-6865
Mailing address
2692 ENTERPRISE RD E, APT#801, CLEARWATER, FL 33759-1033
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 9242812
FL
Other
Enumeration date
07/15/2012
Last updated
07/15/2012
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