Individual
GINA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11933 FROST ASTER DR, RIVERVIEW, FL 33579-4107
(973) 336-9636
Mailing address
11933 FROST ASTER DR, RIVERVIEW, FL 33579-4107
(973) 336-9636
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1455201
FL
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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