Individual
DR. RHONA HOLGANZA DEPAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2525 HARBOR BLVD STE 204, PORT CHARLOTTE, FL 33952-5342
(941) 629-2922
(941) 629-1311
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(941) 629-2922
(941) 629-1311
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME83564
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06350
BLUE CROSS
FL
05
—
112034700
—
FL
05
—
262750700
—
FL
Enumeration date
05/04/2006
Last updated
10/12/2021
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