Active NPI
Eddy Jimenez Cruz
- Primary Care Nurse Practitioner
- Tampa, FL
National Provider Identifier
1093309510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- APRN11011580
- Practice address
- 14831 N Florida Ave
Tampa, FL 33613-1825 - Phone
- (813) 330-2737
- Fax
- (813) 210-9205
- NPI assigned
- Feb 24, 2021
- Last updated
- Oct 13, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | APRN11011580 | FL | Primary |
Addresses
Primary practice location
14831 N Florida Ave
Tampa, FL 33613-1825
Mailing address
17320 Lynnette Dr
Lutz, FL 33549-5608
Phone (813) 580-4427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11011580 | FL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luna Healthcare Partners LLC | Current | Accepting new patients | |
| Avita Medical Clinic LLC | Current | Accepting new patients | |
| Seasons Hospice & Palliative Care of Tampa, LLC | Past | Accepting new patients |
Locations
14831 N Florida Ave
Tampa, FL 33613
Phone (813) 330-2737
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Tampa, FL
- NPI 1992302574
-
- Family Medicine Physician
- Tampa, FL
- NPI 1790490480
-
dba AccentCare Hospice & Palliative Care of Hillsborough County
- Community Based Hospice Care Agency
- Tampa, FL
- NPI 1720530660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760313600000",
"number": "1093309510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17320 LYNNETTE DR",
"city": "LUTZ",
"state": "FL",
"postal_code": "335495608",
"telephone_number": "813-580-4427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14831 N FLORIDA AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336131825",
"telephone_number": "813-330-2737",
"fax_number": "813-210-9205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ CRUZ",
"first_name": "EDDY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-24",
"last_updated": "2025-10-13",
"certification_date": "2025-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "APRN11011580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.