Individual
GINA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4898 E IRLO BRONSON MEMORIAL HWY, 2ND FLOOR, SAINT CLOUD, FL 34771-8714
(407) 891-3054
(888) 477-7678
Mailing address
4898 E IRLO BRONSON MEMORIAL HWY, 2ND FLOOR, SAINT CLOUD, FL 34771-8714
(407) 891-3054
(888) 477-7678
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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