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NPI Code Detail

MEDICARE: VICTORIA CRUZ

MEDICARE:   VICTORIA  CRUZ
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
1163W00000XRegistered NurseN9515034FL
2367500000XCertified Registered Nurse Anesthetist11033108FL

General Provider Information

NPI Number : 1356033542
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA CRUZ
Provider Business Mailing Address
First Line : 4922 SILVER GATE LN APT 208
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-1385
Country : US
Telephone Number : 561-389-8834
Fax Number :
Provider Business Practice Location Address
First Line : 9981 S HEALTHPARK DR
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-3620
Country : US
Telephone Number : 393-435-0002
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2023
Last Update Date : 06/08/2024

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Directions to “ VICTORIA CRUZ ” Practice Location

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