Individual
CHRISTIAN-JOSEPH MICIANO CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 558-6187
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 558-6187
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9285211
FL
363L00000X
Nurse Practitioner
Primary
APRN9285211
FL
Other
Enumeration date
07/24/2015
Last updated
06/23/2022
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