Organization
CAROLYN D. PASS, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA P WEAVER (CREDENTIALING/CONTRACTING)
(863) 294-5505
Entity
Organization
Contact information
Practice address
320 1ST ST N, WINTER HAVEN, FL 33881-4113
(863) 294-5505
(863) 299-5660
Mailing address
1255 STATE ROAD 60 E, SUITE 100, LAKE WALES, FL 33853-4310
(863) 676-8237
(863) 676-8207
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME73921
FL
Other
Enumeration date
04/07/2009
Last updated
07/18/2011
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