Individual
TATIANA A. CRUZ TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 W SWANN AVE, TAMPA, FL 33609-4056
(813) 873-6400
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
(813) 974-4325
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9365396
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP9365396
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019843200
—
FL
01
—
KR6GS
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/20/2017
Last updated
02/16/2023
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