Caroline C Honculada M D Llc

LBN: Caroline C Honculada M D Llc
Caroline C Honculada M D Llc is an health care organization with primary practice located at 425 S 11Th St Suite 1, Lake Wales FL 33853-4342. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Caroline C Honculada M D Llc can be contacted via phone (863) 679-9494, or through Honculada, Caroline C via phone (863) 679-9494.

Contact Information

Primary practice address
425 S 11Th St Suite 1 Lake Wales FL 33853-4342
Phone: (863) 679-9494
Fax: (863) 679-8866
Website:
Map and Directions
Authorized official contact:
Name: Honculada, Caroline C Doctor of Medicine (MD)
Phone: (863) 679-9494

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME0073068 Florida

Profile Details

NPI number 1639314354
LBN Legal business name Caroline C Honculada M D Llc
DBA Doing business as
Authorized official Honculada, Caroline C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2008
Last updated Jun 20th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639314354 NPPES
Florida MEDICAID 255077600
Florida Other 43859

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