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Individual

DR. MARINELY CRUZ-AMY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
765 IMAGE WAY, ORANGE CITY, FL 32763-8399
(386) 774-7411
(386) 774-7412
Mailing address
PO BOX 102222, ATTN CREDENTIALING DEPT, ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
ME111183
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009351400
FL
Enumeration date
05/21/2007
Last updated
04/29/2022
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