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Ivan Ariel Cruz Repollet, MD
General Practice Physician in Tampa, Florida
NPI 1609282722

Ivan Ariel Cruz Repollet is a General Practice Physician based in Tampa, FL. Ivan Ariel Cruz Repollet practices in Tampa, FL and has the professional credentials of MD. The NPI Number for Ivan Ariel Cruz Repollet is 1609282722 and holds a License No. 13,569-I (Florida).

The current practice location address for Ivan Ariel Cruz Repollet is 4340 W Hillsborough Ave Ste 210, Tampa, FL and can be reached out via phone at 813-425-8970 and via fax at 813-425-8925.

Location: 4340 W Hillsborough Ave Ste 210, Tampa, FL, 33614-5522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609282722
Provider Name
Ivan Ariel Cruz Repollet
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4340 W Hillsborough Ave Ste 210, Tampa, FL, 33614-5522
Phone Number
813-425-8970
Fax Number
813-425-8925
Provider Enumeration Date
07/09/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4340 W Hillsborough Ave Ste 210
City
Tampa
State
Florida
Zip
33614-5522
Phone Number
813-425-8970
Fax Number
813-425-8925
person
Provider Business Mailing Address Details
Address
4340 W Hillsborough Ave Ste 210
City
Tampa
State
Florida
Zip
33614-5522
Phone Number
813-425-8970
Fax Number
813-425-8925
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
0441252 (Kansas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
ME153523 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
13,569-I ()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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