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NPI Code Detail

MEDICARE: JOSE R. CRUZ II PHARM.D.

MEDICARE: JOSE R. CRUZ II PHARM.D.
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
1183500000XPharmacist40823FL
21835N0905XNuclear Pharmacist358FL

General Provider Information

NPI Number : 1760753354
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE R. CRUZ II PHARM.D.
Provider Business Mailing Address
First Line : 13546 CHESAPEAKE PL
Second Line :
City : SPRING HILL
State : FL
Zip : 34609-2070
Country : US
Telephone Number : 954-290-5990
Fax Number :
Provider Business Practice Location Address
First Line : 16200 COUNTY LINE RD
Second Line :
City : SPRING HILL
State : FL
Zip : 34610-1351
Country : US
Telephone Number : 954-290-5990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2012
Last Update Date : 01/13/2012

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