| Dr Caroline C Honculada, M D | |
|
425 S 11th St Ste 1, Lake Wales, FL 33853 | |
| (863) 679-9494 | |
| (863) 679-8866 |
| Full Name | Dr Caroline C Honculada |
|---|---|
| Gender | Female |
| Speciality | Gastroenterology |
| Experience | 39 Years |
| Location | 425 S 11th St Ste 1, Lake Wales, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104843051 | NPI | - | NPPES |
| 255077600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME0073068 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Lake Wales | Lake wales, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Hospital Physician Group Inc | 2365679057 | 631 |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
| Entity Name | Florida Hospital Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Caroline C Honculada, M D 425 S 11th St Ste 1, Lake Wales, FL 33853-4239 Ph: (863) 679-9494 | Dr Caroline C Honculada, M D 425 S 11th St Ste 1, Lake Wales, FL 33853 Ph: (863) 679-9494 |
Dr. Mahesh Gandhi Allam, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1110 Druid Cir, Lake Wales, FL 33853 Phone: 863-877-2411 Fax: 863-354-6617 | |
Dr. Andrei Hastings, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 410 S 11th St, Lake Wales, FL 33853 Phone: 863-676-1433 | |
Mr. O'shaine Brown, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 410 S 11th St, Lake Wales, FL 33853 Phone: 863-676-1433 | |
Dr. Sunil Nihalani, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 405 S 11th St, Lake Wales, FL 33853 Phone: 863-679-8000 Fax: 863-679-8008 | |
Daniela Patricia Trelles Garcia, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1255 State Road 60 E Ste 300, Lake Wales, FL 33853 Phone: 863-421-7722 | |
Dr. Carolyn D Pass, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 1143 State Road 60 E, Lake Wales, FL 33853 Phone: 863-679-8815 Fax: 863-679-8335 |