CAROLYN D. PASS, M.D., P.A.
Medical Practice at 1 St, Winter Haven, FL

License number
Florida ME73921
Category
Medical Practice
Type
Specialist
Owner
Name: MRS. LINDA P WEAVER
Title: CREDENTIALING/CONTRACTING
Phone: (863) 294-5505
Address
Address 2
320 1St St N, Winter Haven, FL 33881
1255 State Road 60 E SUITE 100, Lake Wales, FL 33853
National Provider ID: 1316180300
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CAROLYN D. PASS, M.D., P.A. at bizstanding.com

Carolyn D Pass M.D P.A

Winter Haven, FL  -  Lake Wales, FL

Doing business as:
Carolyn D. Pass, MD, PA
Registration:
Jun 13, 2001
Addresses:
320 1 St N, Winter Haven, FL 33881
1255 State Rd 60 E, Lake Wales, FL 33853
State ID:
P01000058770
Business type:
Domestic for Profit Corporation
Principal, President, Secretarys:
Linda P. Weaver (Credentialing/contracting),Carolyn Pass Principal, President, Secretary, inactive
Agent:
Carolyn D. Pass
Categories:
Internal Medicine Physicians & Surgeons, Physicians & Surgeons
Additional:
Lake Wales

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