Healthcare Provider Details

I. General information

NPI: 1649062126
Provider Name (Legal Business Name): EDUARDO A CRUZ DMD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2025
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3140 N FEDERAL HWY
LIGHTHOUSE POINT FL
33064-6738
US

IV. Provider business mailing address

3140 N FEDERAL HWY
LIGHTHOUSE POINT FL
33064-6738
US

V. Phone/Fax

Practice location:
  • Phone: 954-532-1259
  • Fax: 954-532-1273
Mailing address:
  • Phone: 954-532-1259
  • Fax: 954-532-1273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. EDUARDO ANDRES CRUZ
Title or Position: ENDODONTIST
Credential: DMD
Phone: 954-532-1259