Cruz, Jairo B

Cruz, Jairo B is an individual health care provider with primary practice located at 38192 Medical Center Ave , Zephyrhills FL 33540-1380. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Cruz, Jairo B can be contacted via phone (813) 782-3233.

Contact Information

Primary practice address
38192 Medical Center Ave Zephyrhills FL 33540-1380
Phone: (813) 782-3233
Fax: (813) 502-5904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO3671 Florida
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO3671 Florida

Profile Details

NPI number 1609163153
LBN Legal business name Cruz, Jairo B
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2011
Last updated Jan 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609163153 NPPES
Florida MEDICAID 114053700
Florida Other PO2398421
Florida Other PO3671
Florida Other 1326058249
Florida Other 14X4T
Florida Other L2158
Florida Other L2158
Florida Other 5157370001

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