Carrasquillo - Cruz, Israel Eduardo

Carrasquillo - Cruz, Israel Eduardo is an individual health care provider with primary practice located at 1700 S Tamiami Trl , Sarasota FL 34239-3509. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Carrasquillo - Cruz, Israel Eduardo can be contacted via phone (941) 917-4896.

Contact Information

Primary practice address
1700 S Tamiami Trl Sarasota FL 34239-3509
Phone: (941) 917-4896
Fax: (941) 917-6884
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 11005651 Florida

Profile Details

NPI number 1669003174
LBN Legal business name Carrasquillo - Cruz, Israel Eduardo
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2020
Last updated Sep 17th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669003174 NPPES
Florida Other 11005651 APRN LICENSE

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