Organization
JACOBO A CRUZ MD PA
Active
Other names
Jacobo A Cruz MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOBO A CRUZ MD (PRESIDENT)
(850) 484-7774
Entity
Organization
Contact information
Practice address
4400 BAYOU BLVD, SUITE 51, PENSACOLA, FL 32503-2673
(850) 484-7774
(850) 484-8874
Mailing address
4400 BAYOU BLVD, SUITE 51, PENSACOLA, FL 32503-2673
(850) 484-7774
(850) 484-8874
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME48974
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048405900
—
FL
01
—
1043301518
NPI
FL
Enumeration date
08/07/2008
Last updated
09/05/2008
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