1. Home
  2. Directory
  3. Florida
  4. Lake Wales
  5. Internal Medicine
  6. NPI Profile

CAROLINE C HONCULADA M D LLC
NPI 1639314354
Internal Medicine - Gastroenterology in Lake Wales, FL

Active since December 09, 2008
425 S 11TH ST, SUITE 1, LAKE WALES, FL 33853(863) 679-9494(863) 679-8866 Get Directions Write a Review

NPPES record last updated: June 20, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Caroline C Honculada M D Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINE C HONCULADA M D LLC (NPI 1639314354) is a healthcare organization registered as a gastroenterology in Lake Wales, Florida and active in the NPI registry since December 2008. The organization lists Caroline C Honculada, Owner, as its authorized official.

NPPES Registry Identity

NPI1639314354
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameCAROLINE C HONCULADA M D LLC
Location Address425 S 11TH ST, SUITE 1Lake Wales, FL 33853-4342
Mailing Address425 S 11th St, Suite 1Lake Wales, FL 33853-4239 · (863) 679-9494 · Fax (863) 679-8866
Phone(863) 679-9494
Fax(863) 679-8866
Organization SubpartNo
Authorized OfficialCaroline C HonculadaOwner · (863) 679-9494
Enumeration DateDecember 9, 2008
Last NPPES UpdateJune 20, 2012
✔ NPI 1639314354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME0073068
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
425 S 11TH ST, Lake Wales, FL 33853
Open in Google Maps ↗

Other Identifiers 4

Medicare PIN43859FL
Medicare UPING85126FL
Medicaid255077600FL
Other43859FL · Bcbs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FLORIDA HOSPITAL PHYSICIAN GROUP INC
Urology
425 S 11TH ST
LAKE WALES, FL 33853
Polk County (863) 679-2707
OSCAR AMADOR OROPEZA M.D.
Internal Medicine
425 S 11TH ST, STE. 2
LAKE WALES, FL 33853
Polk County (863) 676-8935
DR. MAZVITA ETHEL SIMOYI MD
Surgery
425 S 11TH ST
LAKE WALES, FL 33853
Polk County (844) 634-3627
LAKE WALE PEDIATRIC INTERNAL MEDICINE P.A.
Clinic/Center (Primary Care)
425 S 11TH ST
LAKE WALES, FL 33853
Polk County (863) 676-8935

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caroline C Honculada M D LLC's NPI number?

The NPI number for Caroline C Honculada M D LLC is 1639314354. It was assigned to this organization in the NPPES registry on December 9, 2008.

Where is Caroline C Honculada M D LLC located?

Caroline C Honculada M D LLC is located at 425 S 11th St Suite 1, Lake Wales, FL 33853. The listed phone number is (863) 679-9494.

What is Caroline C Honculada M D LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Caroline C Honculada M D LLC was last updated on June 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.