Martir Cruz, Nidsa I
Martir Cruz, Nidsa I is an sole proprietor health care provider with primary practice located at 26540 Ace Ave Ste H103 , Leesburg FL 34748-8279. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Martir Cruz, Nidsa I can be contacted via phone (352) 323-0888.Contact Information
Primary practice address
26540 Ace Ave Ste H103
Leesburg FL 34748-8279
Phone: (352) 323-0888
Fax: (352) 323-9103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME63164 | Florida |
Profile Details
| NPI number | 1346275369 |
|---|---|
| LBN Legal business name | Martir Cruz, Nidsa I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jun 14th, 2024 - about 5 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346275369 | NPPES |
| Florida | MEDICAID | 371597300 | |
| Florida | Other | 130012170 |
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