Individual
TAMARA D EDWARDS-CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BUSINESS OWNER
Contact information
Practice address
2489 W 30TH ST, JACKSONVILLE, FL 32209-3407
(904) 607-6124
Mailing address
6001 ARGYLE FOREST BLVD, STE21 #153, JACKSONVILLE, FL 32244
(904) 861-6686
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
E363804748750
FL
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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