Individual provider · Type 1 NPI
Ivan Ariel Cruz Repollet, MD
General Practice Physician · Tampa, FL
NPI number
1609282722
Active
Practice location
4340 W Hillsborough Ave Ste 210
Tampa, FL 33614-5522
Fax (813) 425-8925
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 13,569-I (PR) |
| General Practice Physician Primary | 208D00000X | ME153523 (FL) |
| Family Medicine Physician | 207Q00000X | 0441252 (KS) |
| Family Medicine Physician | 207Q00000X | ME153523 (FL) |
| General Practice Physician | 208D00000X | 19,231 (PR) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
3 other providers at this address
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About NPI 1609282722
Ivan Ariel Cruz Repollet, MD's National Provider Identifier is 1609282722, issued on Jul 9, 2014. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Tampa, FL. The record was last updated on Jan 18, 2024.