Cruz Azul of Wpb

NPI #1811278245 in West Palm Bch, Florida

Provider Information

NPI Number: 1811278245
Entity Type: Organization
Organization Name: Cruz Azul of Wpb
Primary Specialty: General Practice
Enumeration Date: Aug 30, 2011
Last Updated: Aug 30, 2011

Practice Location

Address: 6294 18TH ST S
City: West Palm Bch
State: Florida
ZIP Code: 33415-5419
Phone: (561) 201-4016

Authorized Official

Name: DACHA CRUZ
Title: PRESIDENT
Phone: (561) 201-4016

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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