Organization
RENE F CRUZ M D P A
Active
Other names
Family Practice Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENE FULGENCIO CRUZ MD (MEDICAL DIRECTOR)
(407) 644-4595
Entity
Organization
Contact information
Practice address
424 LAKE HOWELL RD, MAITLAND, FL 32751-5907
(407) 644-4595
(407) 790-7752
Mailing address
424 LAKE HOWELL RD, MAITLAND, FL 32751-5907
(407) 644-4595
(407) 790-7752
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0068986
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256125500
—
FL
Enumeration date
06/01/2006
Last updated
10/08/2024
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