Individual
ANTON MICAEL DELA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-4225
Mailing address
10299 SOUTHERN BLVD UNIT 212773, ROYAL PALM BEACH, FL 33421-5112
(860) 389-8956
(860) 679-1621
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
229882
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICARE
FL
Enumeration date
08/27/2010
Last updated
10/06/2020
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