Carolina D. Davide, M.d. Inc | |
85-910 Farrington Hwy Suite 102 Waianae HI 96792-2651 | |
(808) 696-4044 | |
(808) 696-4009 |
Full Name | Carolina D. Davide, M.d. Inc |
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Speciality | Clinic/Center |
Location | 85-910 Farrington Hwy, Waianae, Hawaii |
Authorized Official Name and Position | Carolina Dominica Davide (M.D.) |
Authorized Official Contact | 8086964044 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Carolina D. Davide, M.d. Inc 85-910 Farrington Hwy Suite 102 Waianae HI 96792-2651 Ph: (808) 696-4044 | Carolina D. Davide, M.d. Inc 85-910 Farrington Hwy Suite 102 Waianae HI 96792-2651 Ph: (808) 696-4044 |
NPI Number | 1083904262 |
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Provider Enumeration Date | 04/08/2011 |
Last Update Date | 04/08/2011 |
Medicare PECOS PAC ID | 9537338561 |
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Medicare Enrollment ID | O20110809000582 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083904262 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 12910 (Hawaii) | Primary |
Provider Name | Carolina D Davide |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235170689 PECOS PAC ID: 4688609043 Enrollment ID: I20051004001067 |
Waianae District Comprehensive Health And Hospital Board, Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 87-2070 Farrington Hwy Ste N, Waianae, HI 96792 Phone: 808-697-3900 | |
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Waiola Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 86-120 Farrington Hwy, Suite C305a, Waianae, HI 96792 Phone: 808-697-3300 Fax: 808-697-3687 | |
Ekahi Integrated Practices West - 200 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 85-910 Farrington Hwy, Suite 102, Waianae, HI 96792 Phone: 808-696-4044 | |
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