Provider Demographics
NPI:1144199068
Name:OCASIO CRUZ, ANTHONY EMMANUEL (LAC, DOM)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:EMMANUEL
Last Name:OCASIO CRUZ
Suffix:
Gender:M
Credentials:LAC, DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:957 TRAMELLS TRL
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-5427
Mailing Address - Country:US
Mailing Address - Phone:407-732-1828
Mailing Address - Fax:407-732-1828
Practice Address - Street 1:1260 SARNO RD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-5204
Practice Address - Country:US
Practice Address - Phone:407-732-1828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-30
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP4600171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist