Cruz, Wilson Tadeu
Cruz, Wilson Tadeu is an sole proprietor health care provider with primary practice located at 1501 S 27Th St , Fort Pierce FL 34947-5701. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Cruz, Wilson Tadeu can be contacted via phone (772) 342-5485.Contact Information
Primary practice address
1501 S 27Th St
Fort Pierce FL 34947-5701
Phone: (772) 342-5485
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APRN11023000 | Florida |
Profile Details
| NPI number | 1619683778 |
|---|---|
| LBN Legal business name | Cruz, Wilson Tadeu |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2023 |
| Last updated | Jan 23rd, 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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