Cruz, Heriberto
Cruz, Heriberto is an individual health care provider with primary practice located at 1573 W Fairbanks Ave Ste 210 , Winter Park FL 32789-4679. He recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Cruz, Heriberto can be contacted via phone (407) 646-7845.Contact Information
Primary practice address
1573 W Fairbanks Ave Ste 210
Winter Park FL 32789-4679
Phone: (407) 646-7845
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | ||
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | Florida | |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9117573 | Florida |
Profile Details
NPI number | 1932661584 |
---|---|
LBN Legal business name | Cruz, Heriberto |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 3rd, 2019 |
Last updated | Aug 25th, 2023 - about 2 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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