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NPI Code Detail

MEDICARE: DR. WANDA E ESPINOZA-CRUZ DO

MEDICARE: DR. WANDA E ESPINOZA-CRUZ DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician256412-1NY
2207P00000XEmergency Medicine PhysicianOS11330FL

General Provider Information

NPI Number : 1346479599
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WANDA E ESPINOZA-CRUZ DO
Provider Business Mailing Address
First Line : 4830 W KENNEDY BLVD STE 600
Second Line :
City : TAMPA
State : FL
Zip : 33609-2584
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2502 W SAINT ISABEL ST
Second Line :
City : TAMPA
State : FL
Zip : 33607-6318
Country : US
Telephone Number : 813-874-5707
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2009
Last Update Date : 07/11/2020

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