Organization
BUCKEYE DERMATOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIO C CRUZ MD (PRESIDENT)
(614) 761-1151
Entity
Organization
Contact information
Practice address
5080 BRADENTON AVE, STE B, DUBLIN, OH 43017-3520
(614) 761-1151
(614) 761-4893
Mailing address
5080 BRADENTON AVE, STE B, DUBLIN, OH 43017-3520
(614) 761-1151
(614) 761-4893
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0900X
Dermatopathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0934887
—
OH
05
—
0977457
—
OH
01
—
1871588723
NPI INDIVIDUAL
—
01
—
1922093855
NPI INDIVIDUAL
—
05
—
2267836
—
OH
Enumeration date
09/21/2006
Last updated
09/11/2025
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