Most Relevant Information
Provider Data
NPI Number: | 1003532870 |
Provider Name: | MARICARMEN CRUZ |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: | IMH23006 |
Most Important Dates
Enumeration Date: | 10/13/2022 |
Last Updated: | 10/13/2022 |
Provider Practice Location
16506 N DALE MABRY HWY
TAMPA
FL
336181325
Practice Location Phone/Fax
Phone: | 8137732743 |
Fax: |
Provider Mailing Location
16123 GOOD HEARTED LN
ODESSA
FL
335564370
Provider Mailing Phone/Fax
Phone: | 8135281350 |
Fax: |