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General NPI Number Information
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NPI Number | 1043045925
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Entity Type | Organization
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Legal Business Name | CRUZING PODIATRY LLC
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Dates
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Enumeration Date | 09/03/2024
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 2950 GRIFFIN RD
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City | FT LAUDERDALE
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State | FL
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Zip | 33312-5648
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Country | US
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Telephone | 954-853-2160
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Fax |
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Provider Business Mailing Address
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Address Line | 9835 LAKE WORTH RD STE 16-152
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City | LAKE WORTH
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State | FL
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Zip | 33467-2300
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Country | US
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Telephone | 561-459-4637
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Fax | 561-810-1677
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Authorized Official
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Title or Position | OWNER
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Name | JASMINE CRUZ
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Credential | MD
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Telephone | 561-809-7318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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