Individual
CARLOS CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
216 BROADWAY, KISSIMMEE, FL 34741-5768
(407) 910-4040
Mailing address
216 BROADWAY, KISSIMMEE, FL 34741-5768
(407) 910-4040
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
7639-11
FL
Other
Enumeration date
05/15/2024
Last updated
04/21/2025
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