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1699840850
JEFFREY T DE LA CRUZ
HALLANDALE BEACH, FL
NPI
1699840850
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2006-11-22
Last Update Date
2007-07-08
Business Address
-- JEFFREY T DE LA CRUZ
1001 N FEDERAL HWY STE 301
HALLANDALE BEACH, FL 33009-2416
Phone number: 954-455-2869
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Mailing Address
-- JEFFREY T DE LA CRUZ
666 W 81ST ST
HIALEAH, FL 33014-4166
Phone number: 954-455-2869
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