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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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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