Organization
CAROLYN D PASS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN D PASS M.D. (OWNER/PRESIDENT)
(863) 676-8237
Entity
Organization
Contact information
Practice address
1105 DRUID CIR, LAKE WALES, FL 33853-4339
(863) 676-8237
(863) 676-8207
Mailing address
1105 DRUID CIR, LAKE WALES, FL 33853-4339
(863) 676-8237
(863) 676-8207
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME73921
FL
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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