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Individual
POLLA SUE CUNNINGHAM
Active
Individual
POLLA SUE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME94647
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101581
—
AL
05
—
278157300
—
FL
01
—
41131
BCBS
FL
01
—
7773615
AETNA
FL
Enumeration date
11/10/2006
Last updated
05/04/2011
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