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Individual

OSVALDO CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-8720
(941) 917-1875
Mailing address
PO BOX 947407, ATLANTA, GA 30394-7407
(941) 917-2600
(941) 917-7884

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME 43594
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
045707800
FL
01
050032551
RAILROAD MEDICARE
FL
01
94466
BLUE SHIELD OF FL
FL
Enumeration date
08/17/2006
Last updated
04/28/2023
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