Individual
HERNANI CUALING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4225 E FOWLER AVE STE B, TAMPA, FL 33617-2026
(813) 972-7100
(813) 972-8269
Mailing address
14275 MIDWAY RD STE B, ADDISON, TX 75001-3614
(972) 934-4392
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
ME84854
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13628
BLUE CROSS BLUE SHIELD
FL
05
—
264294800
—
FL
Enumeration date
07/05/2006
Last updated
10/12/2017
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