Individual
DR. CAROLINE C HONCULADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M D
Contact information
Practice address
425 S 11TH ST STE 1, LAKE WALES, FL 33853
(863) 679-9494
(863) 679-8866
Mailing address
425 S 11TH ST STE 1, LAKE WALES, FL 33853-4239
(863) 679-9494
(863) 679-8866
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0073068
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255077600
—
FL
Enumeration date
07/16/2006
Last updated
09/24/2019
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