MEDICARE: JASMINE 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
1	213EP1101X	Primary Podiatric Medicine Podiatrist	PO3913	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376938183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASMINE CRUZ

Provider Business Mailing Address
First Line	:	9835 LAKE WORTH RD STE 16-152
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-2300
Country	:	US
Telephone Number	:	877-827-8946
Fax Number	:	561-258-9674

Provider Business Practice Location Address
First Line	:	2706 GRIFFIN RD
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33312-5856
Country	:	US
Telephone Number	:	954-853-2160
Fax Number	:	561-258-9674

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2015
Last Update Date	:	02/12/2026

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Directions to “ JASMINE CRUZ ” Practice Location

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