Ivan De La Cruz
NPI #1871336768 in Lynn Haven, Florida
Provider Information
- NPI Number
- 1871336768
- Entity Type
- Individual
- Name
- Ivan De La Cruz
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Jun 17, 2024
- Last Updated
- Jun 17, 2024
Practice Location
- Address
- 1304 ALABAMA AVE
- City
- Lynn Haven
- State
- Florida
- ZIP Code
- 32444-2535
- Phone
- (850) 716-2547
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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