Cruz, Ivelisse

Cruz, Ivelisse is an individual health care provider with primary practice located at 5615 S Florida Ave Ste 111 , Lakeland FL 33813-2714. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Cruz, Ivelisse can be contacted via phone (863) 327-0132.

Contact Information

Primary practice address
5615 S Florida Ave Ste 111 Lakeland FL 33813-2714
Phone: (863) 327-0132
Fax: (863) 777-2320
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 11011713 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11011713 Florida

Profile Details

NPI number 1497324396
LBN Legal business name Cruz, Ivelisse
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2021
Last updated Mar 7th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497324396 NPPES
Florida MEDICAID 113978600

Popular Providers