Honculada, Caroline C
Honculada, Caroline C is an sole proprietor health care provider with primary practice located at 425 S 11Th St Ste 1 , Lake Wales FL 33853. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Honculada, Caroline C can be contacted via phone (863) 679-9494.Contact Information
Primary practice address
425 S 11Th St Ste 1
Lake Wales FL 33853
Phone: (863) 679-9494
Fax: (863) 679-8866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME0073068 | Florida |
Profile Details
| NPI number | 1104843051 |
|---|---|
| LBN Legal business name | Honculada, Caroline C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Sep 24th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104843051 | NPPES |
| Florida | MEDICAID | 255077600 |
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