Individual
DR. MAYRA ALEJANDRA CRUZ ITHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, M.D.
Contact information
Practice address
625 6TH AVE S STE 340, ST PETERSBURG, FL 33701
(727) 767-7903
(727) 767-7905
Mailing address
625 6TH AVE S STE 340, ST PETERSBURG, FL 33701-4619
(727) 767-7903
(727) 767-7905
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
ME122845
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024967800
—
FL
Enumeration date
06/23/2011
Last updated
08/17/2018
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