Individual
MRS. ANDREA FAYE DELACRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4951 GRANDE DR, PENSACOLA, FL 32504-8965
(850) 473-0100
(850) 473-0500
Mailing address
4951 GRANDE DR, PENSACOLA, FL 32504-8965
(850) 473-0100
(850) 473-0500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0102202885
VA
208000000X
Pediatrics Physician
Primary
OS16937
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107123300
—
FL
Enumeration date
06/28/2010
Last updated
10/05/2020
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