Healthcare Provider Details

I. General information

NPI: 1013827328
Provider Name (Legal Business Name): JANINE MARIE CRUZ SANDS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 SW ARCHER RD
GAINESVILLE FL
32608-1134
US

IV. Provider business mailing address

424 NE 8TH AVE
GAINESVILLE FL
32601-4396
US

V. Phone/Fax

Practice location:
  • Phone: 352-256-9732
  • Fax:
Mailing address:
  • Phone: 352-256-9732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9325424
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: