Allan C Honculada, MD

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

ME0073045 Issued in FL

Practice address

537 E Central Ave
Winter Haven, FL 33880-3054

Phone

(863) 294-9066

Fax

(863) 293-7887

NPI assigned

Jul 16, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pain Management

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Pain Relief Group PLLCGroup PAC ID 4688960271, 80 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida Pain Relief Group PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Tampa, FL
  • NPI 1376994608
  Medicare reassignment Care Compare group NPD
• Charles K Friedman DO PA

  • Interventional Pain Medicine Physician
  • St Petersburg, FL
  • NPI 1982622775
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1215954169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E ROBERTSON ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115253",
            "telephone_number": "813-685-2191",
            "fax_number": "813-689-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803054",
            "telephone_number": "863-294-9066",
            "fax_number": "863-293-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONCULADA",
        "first_name": "ALLAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME0073045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253946200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelly Yvonne Holiman
• Labritney Katrese Holmes, LPN
• Valdeja Ahyana Holton
• Home to the Brave LLC
• Hometown Homecare LLC
• Richard J Honer, MD
• Nicholas Stephen Honickman
• Jessica Hooke
• Hope Haven LLC
• Hope in Healing LLC

• Pain Medicine Physician in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.