Individual
EDDID DAVID COLON CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
720 W OAK ST, KISSIMMEE, FL 34741-4989
(407) 518-3801
Mailing address
15639 SIGNATURE DR, WINTER GARDEN, FL 34787-8775
(939) 244-9095
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
120690
FL
Other
Enumeration date
01/23/2012
Last updated
11/18/2014
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