| Caroline C Honculada M D Llc | |
|
425 S 11th St Suite 1 Lake Wales FL 33853-4342 | |
| (863) 679-9494 | |
| (863) 679-8866 |
| Full Name | Caroline C Honculada M D Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 425 S 11th St, Lake Wales, Florida |
| Authorized Official Name and Position | Caroline C Honculada (OWNER) |
| Authorized Official Contact | 8636799494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caroline C Honculada M D Llc 425 S 11th St Suite 1 Lake Wales FL 33853-4239 Ph: (863) 679-9494 | Caroline C Honculada M D Llc 425 S 11th St Suite 1 Lake Wales FL 33853-4342 Ph: (863) 679-9494 |
| NPI Number | 1639314354 |
|---|---|
| Provider Enumeration Date | 12/09/2008 |
| Last Update Date | 06/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639314354 | NPI | - | NPPES |
| 255077600 | Medicaid | FL | |
| 43859 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME0073068 (Florida) | Primary |
Central Florida Health Care Pharmacy Lake Wales Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 W Central Ave, Lake Wales, FL 33853 Phone: 863-676-0054 Fax: 863-676-0079 | |
P. Rene Navarro, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1137 Druid Cir, Lake Wales, FL 33853 Phone: 863-676-0702 Fax: 863-676-2305 | |
Physicians Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1143 State Road 60 E, Lake Wales, FL 33853 Phone: 863-679-8815 Fax: 863-679-8335 | |
Central Florida Health Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 W Central Ave, Lake Wales, FL 33853 Phone: 866-234-8534 | |
Lakeland Regional Health System, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 455 Emerald Ave, Lake Wales, FL 33853 Phone: 863-676-0014 Fax: 863-284-6825 | |
Central Florida Health Care, Inc. - Lake Wales Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 305 W Central Ave, Lake Wales, FL 33853 Phone: 863-678-4360 Fax: 863-678-4399 | |
American Care Of North Florida, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 Carlton Ave Ste 1500, Lake Wales, FL 33853 Phone: 863-270-4546 Fax: 863-638-6337 |