Mactavish, Diana Ximena Cruz
Mactavish, Diana Ximena Cruz is an individual health care provider with primary practice located at 500 N Congress Ave , Lake Park FL 33403-3802. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Mactavish, Diana Ximena Cruz can be contacted via phone (561) 352-2381.Contact Information
Primary practice address
500 N Congress Ave
Lake Park FL 33403-3802
Phone: (561) 352-2381
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PS56388 | Florida |
Profile Details
| NPI number | 1659892214 |
|---|---|
| LBN Legal business name | Mactavish, Diana Ximena Cruz |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2017 |
| Last updated | May 17th, 2022 - about 3 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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