Individual
MARISSA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2521 NW 41ST ST, GAINESVILLE, FL 32606-6630
(352) 377-7733
(352) 377-9577
Mailing address
13904 N DALE MABRY HWY STE 200, TAMPA, FL 33618-2446
(813) 908-2020
(813) 908-2133
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6295
FL
Other
Enumeration date
07/14/2023
Last updated
06/03/2024
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