Provider Demographics
NPI:1003956616
Name:SUE-WAH-SING, CECIL B (MD)
Entity Type:Individual
Prefix:DR
First Name:CECIL
Middle Name:B
Last Name:SUE-WAH-SING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 HAVERFORD AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:SUN CITY CENTER
Mailing Address - State:FL
Mailing Address - Zip Code:33573-5200
Mailing Address - Country:US
Mailing Address - Phone:813-634-9284
Mailing Address - Fax:813-634-4595
Practice Address - Street 1:1901 HAVERFORD AVE STE 101
Practice Address - Street 2:
Practice Address - City:SUN CITY CENTER
Practice Address - State:FL
Practice Address - Zip Code:33573-5200
Practice Address - Country:US
Practice Address - Phone:813-634-9284
Practice Address - Fax:813-634-4595
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME76704207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL260922300Medicaid
FL260922300Medicaid
FLH31008Medicare UPIN