Provider Demographics
NPI:1083389373
Name:NARVAEZ CRUZ, WILLIAM (APRN, NP-C)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:NARVAEZ CRUZ
Suffix:
Gender:M
Credentials:APRN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2219 RIO GRANDE CANYON LOOP
Mailing Address - Street 2:
Mailing Address - City:POINCIANA
Mailing Address - State:FL
Mailing Address - Zip Code:34759-5964
Mailing Address - Country:US
Mailing Address - Phone:787-901-3918
Mailing Address - Fax:
Practice Address - Street 1:1005 N LAKE PARKER AVE
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33805-4723
Practice Address - Country:US
Practice Address - Phone:863-583-4053
Practice Address - Fax:863-248-8288
Is Sole Proprietor?:No
Enumeration Date:2021-08-10
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL11014720363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily