Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ivan De la Cruz

Individual provider Athletic Trainer · NPI 1871336768

Ivan De la Cruz is an Athletic Trainer in Lynn Haven, Florida. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1304 Alabama Ave
Lynn Haven, FL 32444-2535
Phone: (850) 716-2547
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1871336768
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 17, 2024
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024
Mailing address1304 Alabama Ave, Lynn Haven, FL 32444-2535

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