Individual
RACHEL ODIOSO CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
27343 WESLEY CHAPEL BLVD, WESLEY CHAPEL, FL 33544-4287
(813) 991-9355
(813) 355-5031
Mailing address
38135 MARKET SQUARE DR, ZEPHYRHILLS, FL 33542-7505
(813) 780-1255
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9107286
FL
363AM0700X
Medical Physician Assistant
Primary
PA9107286
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009854800
—
FL
Enumeration date
08/23/2013
Last updated
01/24/2025
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