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NPI Code Detail

MEDICARE: DILLON E CRUZ-DEL VALLE D.C.

MEDICARE:   DILLON E CRUZ-DEL VALLE  D.C.
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
1111N00000XChiropractor01-0681151FL

General Provider Information

NPI Number : 1336995216
Entity Type Code : Individual
Provider Name (Legal Business Name) : DILLON E CRUZ-DEL VALLE D.C.
Provider Business Mailing Address
First Line : 505 HARDWOOD CIR
Second Line :
City : ORLANDO
State : FL
Zip : 32828-8290
Country : US
Telephone Number : 407-807-1210
Fax Number :
Provider Business Practice Location Address
First Line : 110 N KIRKMAN RD
Second Line :
City : ORLANDO
State : FL
Zip : 32811-1404
Country : US
Telephone Number : 407-291-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2024
Last Update Date : 04/30/2024

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Directions to “ DILLON E CRUZ-DEL VALLE D.C.” Practice Location

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