Kallmann Cruz, Federico

Kallmann Cruz, Federico is an individual health care provider with primary practice located at 3617 W Hillsborough Ave , Tampa FL 33614-5713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kallmann Cruz, Federico can be contacted via phone (844) 665-4827.

Contact Information

Primary practice address
3617 W Hillsborough Ave Tampa FL 33614-5713
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME78937 Florida

Profile Details

NPI number 1447253414
LBN Legal business name Kallmann Cruz, Federico
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Aug 31st, 2016 - about 8 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 1447253414 NPPES
Florida Other 49425 BLUECROSS BLUESHIELD
Florida MEDICAID 258510300 BLUECROSS BLUESHIELD

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