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Contact Information

CARLOS CRUZ
216 BROADWAY
KISSIMMEE, FL34741-5768
 Phone: 407-910-4040
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for CARLOS CRUZ · (Male)

NPI Number 1558110270
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2024
Last updated 04/21/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # 7639-11
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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