MEDICARE: DR. CECIL B SUE-WAH-SING M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME76704	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003956616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CECIL B SUE-WAH-SING M.D.

Provider Business Mailing Address
First Line	:	1901 HAVERFORD AVE STE 101
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-5200
Country	:	US
Telephone Number	:	813-634-9284
Fax Number	:	813-634-4595

Provider Business Practice Location Address
First Line	:	1901 HAVERFORD AVE STE 101
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-5200
Country	:	US
Telephone Number	:	813-634-9284
Fax Number	:	813-634-4595

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	08/25/2022

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