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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DIANA XIMENA CRUZ MACTAVISH

Active

DIANA XIMENA CRUZ MACTAVISH is a Pharmacist healthcare provider located in LAKE PARK, Florida. NPI 1659892214 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · LAKE PARK, FL

Registration Details

NPI Number
1659892214
Provider Type
Individual
Gender
Female
NPI Issued
Jul 3, 2017 (9.0924395904904 yrs)
Last Updated
May 17, 2022
License
PS56388 (FL)

Practice Information

Address
500 N CONGRESS AVE
LAKE PARK, FL, 334033802
Browse FL providers · Browse ZIP 33403
Phone
5613522381
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in LAKE PARK, FL

Name Credential NPI
MR. ALAN F SIMCICH R.PH. 1124156781
FRED A. FUCHS 1760714976
STEPHENIE FAYE MOOCK PHARM.D. 1043505159
NICOLE RENE PARDUE PHARMD 1396030276
MRS. ROSA MARI BASSETT PHARMD 1417244476
NIRAV PATEL RPH 1710415112
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.