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Herminio Cuervo MD PA

Psychiatry & Neurology, Neurology in Lakeland, FL. Organization (NPI-2).

NPI number1578616371
StatusActive
Last updated in NPPESJan 12, 2011

Details

NPI
1578616371
Entity type
Organization (NPI-2)
Legal business name
Herminio Cuervo MD PA
Organization subpart
No
Enumeration date
Jan 18, 2007
Last updated
Jan 12, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, NeurologyME0031030FLYes

Practice location

1601 Williamsburg Sq
Lakeland, FL 33803-4279

Phone 863-647-1684 · Fax 863-647-2824

Mailing address

1601 Williamsburg Sq
Lakeland, FL 33803-4279

Phone 863-647-1684 · Fax 863-647-2824

Authorized official

Herminio Cuervo
President
8636471684

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