Dela Cruz, Servillano

Dela Cruz, Servillano is an individual health care provider with primary practice located at 2231 Highway 44 W , Inverness FL 34453-3879. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Dela Cruz, Servillano can be contacted via phone (352) 860-7400.

Contact Information

Primary practice address
2231 Highway 44 W Inverness FL 34453-3879
Fax: (352) 860-7450
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X ME81376 Florida

Profile Details

NPI number 1255312591
LBN Legal business name Dela Cruz, Servillano
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2005
Last updated May 2nd, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255312591 NPPES
Florida MEDICAID 260183400

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