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:
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Health care specialties

SpecialtyCodeLicense #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 7 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 1104843051 NPPES
Florida MEDICAID 255077600

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