person
Richard Alan Delacruz, MD
General Practice Physician in Jacksonville, Florida
NPI 1821009390

Richard Alan Delacruz is a General Practice Physician based in Orlando, FL. Richard Alan Delacruz practices in Jacksonville, FL and has the professional credentials of MD. The NPI Number for Richard Alan Delacruz is 1821009390 and holds a License No. ME80275 (Florida).

The current practice location address for Richard Alan Delacruz is 3625 University Blvd S, Jacksonville, FL and can be reached out via phone at 904-399-6811 and via fax at 904-346-0113.

Location: 3625 University Blvd S, Jacksonville, FL, 32886-0554
person
Provider Profile Details
NPI Number
1821009390
Provider Name
Richard Alan Delacruz
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3625 University Blvd S, Jacksonville, FL, 32886-0554
Phone Number
904-399-6811
Fax Number
904-346-0113
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
260605400 05 FL
51797 01 FL BCBS
930111454 01 FL RAILROAD MEDICARE
1780120 05 LA
institution
Provider Business Practice Location Address Details
Address
3625 University Blvd S
City
State
Zip
32216-4207
Phone Number
904-399-6811
Fax Number
904-346-0113
person
Provider Business Mailing Address Details
Address
3625 University Blvd S
City
State
Zip
32216-4207
Phone Number
904-399-6811
Fax Number
904-346-0113
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
ME80275 (Florida)
Definition
Definition to come...
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