Pass, Carolyn D

Pass, Carolyn D is an individual health care provider with primary practice located at 1143 State Road 60 E , Lake Wales FL 33853-4320. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Pass, Carolyn D can be contacted via phone (863) 679-8815.

Contact Information

Primary practice address
1143 State Road 60 E Lake Wales FL 33853-4320
Phone: (863) 679-8815
Fax: (863) 679-8335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME73921 Florida

Profile Details

NPI number 1306814553
LBN Legal business name Pass, Carolyn D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Sep 3rd, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306814553 NPPES
Florida Other 41992 BCBS
Florida MEDICAID 252811800 BCBS

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