Individual
CECIL A. CHERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
781 CYPRESS VILLAGE BLVD, RUSKIN, FL 33573-6801
(813) 633-3600
(813) 634-8210
Mailing address
10051 5TH STREET NORTH ATTN: CREDENTIALING, SUITE 200, ST PETERSBURG, FL 33702
(727) 824-0780
(813) 634-8210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
27027
OK
207Q00000X
Family Medicine Physician
Primary
ME113498
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006501200
—
FL
Enumeration date
05/26/2009
Last updated
12/15/2016
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