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NPI Code Detail

MEDICARE: AMANDA MARIA CRUZ PHARMD

MEDICARE: AMANDA MARIA CRUZ PHARMD
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
1183500000XPharmacistPS66194FL

General Provider Information

NPI Number : 1457134074
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA MARIA CRUZ PHARMD
Provider Business Mailing Address
First Line : 4055 NW 97TH AVE STE 100
Second Line :
City : DORAL
State : FL
Zip : 33178-2911
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4055 NW 97TH AVE STE 100
Second Line :
City : DORAL
State : FL
Zip : 33178-2911
Country : US
Telephone Number : 305-439-0318
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2023
Last Update Date : 08/16/2023

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Directions to “ AMANDA MARIA CRUZ PHARMD” Practice Location

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