Individual
DR. VICTOR FELIZ DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3010 E 138TH AVE, SUITE 12, TAMPA, FL 33613-3904
(813) 975-2800
(813) 977-7631
Mailing address
3010 E 138TH AVE, SUITE 12, TAMPA, FL 33613-3904
(813) 975-2800
(813) 977-7631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME99288
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME99288
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
ME 99288
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000783600
—
FL
01
—
1450Y
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
07/05/2007
Last updated
10/18/2013
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