Individual provider · NPI-1

Jose Luis Cruz, MD

Family Medicine · Tampa, FL

NPI number1841230240
StatusActive
Last updated in NPPESMar 23, 2022

Details

NPI
1841230240
Entity type
Individual (NPI-1)
Name
Jose Luis Cruz
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 7, 2006
Certification date
Mar 23, 2022
Last updated
Mar 23, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineME93347FLYes
207K00000X Allergy & ImmunologyME93347FL

Practice location

4730 N Habana Ave Ste 300
Tampa, FL 33614-7148

Phone 813-876-7700 · Fax 813-876-8700

Mailing address

2541 N Dale Mabry Hwy Unit 413
Tampa, FL 33607-2408

Phone 813-876-7700 · Fax 813-876-8700

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Tampa, FL