Individual
ISRAEL EDUARDO CARRASQUILLO - CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-4896
(941) 917-6884
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11005651
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11005651
APRN LICENSE
FL
Enumeration date
02/03/2020
Last updated
09/17/2021
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