Maycie A Cruz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 9105183 Issued in FL

Practice address

260 North Tropical Trail
Ste 105
Merritt Island, FL 32953-4800

Phone

(321) 208-8258

Fax

(321) 735-7186

NPI assigned

Oct 9, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Pratice of Suntree and Viera, P.a.

  • Family Medicine Physician
  • Melbourne, FL
  • NPI 1578751145
  NPD (past)
• University of Florida Jacksonville Physicians, Inc.

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1144276452
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1679808588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 NORTH TROPICAL TRAIL",
            "address_2": "STE 105",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534800",
            "telephone_number": "321-208-8258",
            "fax_number": "321-735-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 NORTH TROPICAL TRAIL",
            "address_2": "STE 105",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534800",
            "telephone_number": "321-208-8258",
            "fax_number": "321-735-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "MAYCIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-09",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9105183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Jean Creighton, RN
• CRJ Enterprizes Inc. (Trinity House Assisted Living Facility)
• Susan Cron, LCSW
• Steven Crouchley
• Margaret Cleary Crowder, RN
• Dara Tomoko Cunnion, DMD
• Curington Eye Associates P a (family vision center)
• Deborah Annette Curtis, LPN
• Shawn Marie Dague, ARNP, CNM
• Natvarlal H Dalsania, MD

• Physician Assistant in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.