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Individual

JEFFREY T DE LA CRUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1001 N FEDERAL HWY STE 301, HALLANDALE BEACH, FL 33009-2416
(954) 455-2869
Mailing address
666 W 81ST ST, HIALEAH, FL 33014-4166
(954) 455-2869

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
11/22/2006
Last updated
07/08/2007
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