Provider Demographics
NPI:1396465019
Name:ORLANDO CRUZ SERVICES INC
Entity type:Organization
Organization Name:ORLANDO CRUZ SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWEN
Authorized Official - Prefix:MR
Authorized Official - First Name:ORLANDO
Authorized Official - Middle Name:CRUZ
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:786-656-3945
Mailing Address - Street 1:7608 CYPRESS KNEE DR FL 34667
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-1446
Mailing Address - Country:US
Mailing Address - Phone:786-656-3945
Mailing Address - Fax:
Practice Address - Street 1:2309 W DR MARTIN LUTHER KING JR BLVD STE 2
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6496
Practice Address - Country:US
Practice Address - Phone:813-348-3946
Practice Address - Fax:813-499-9070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-01
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center