Healthcare Provider Details

I. General information

NPI: 1679407134
Provider Name (Legal Business Name): GALATEA AISHA CRUZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1763 MAIN ST APT 110C
DUNEDIN FL
34698-6404
US

IV. Provider business mailing address

1763 MAIN ST APT 110C
DUNEDIN FL
34698-6404
US

V. Phone/Fax

Practice location:
  • Phone: 727-420-4440
  • Fax:
Mailing address:
  • Phone: 727-420-4440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: