ANA C CRUZ DIAZ


Address: 7729 E Pine Lake Ln, Floral City, FL 34436-3745
Phone: 3527653003

ANA C CRUZ DIAZ (NPI# 1861488330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861488330
Entity Type Individual
Full Name ANA C CRUZ DIAZ
Credential M.D
Practice Address 7729 E Pine Lake Ln
Floral City
FL 34436-3745
Mailing Address 14690 Spring Hill Drive Suite 101
Attn: Credentialing
Spring Hill
FL 34609-8102
Practice Telephone 3527653003
Practice Fax Number 3526160915
Mailing Telephone 3522775348
Mailing Fax Number 3526062857
Enumeration Date 2005-09-21
Last Update Date 2019-04-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 14659 PR Allopathic & Osteopathic Physicians
Y 208D00000X General Practice ACN769 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 016745300 05

Office Location

Street Address 7729 E PINE LAKE LN
City FLORAL CITY
State FL
Zip Code 34436-3745

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1649543547 Cynthia Marie English Massage Therapist 8934 S Waterview Dr, Floral City, FL 34436-3630 2012-02-23
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City FLORAL CITY
Zip Code 34436

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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