Carolyn D. Pass, M.D., P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME73921 Issued in FL

Legal business name

CAROLYN D. PASS, M.D., P.A.

Practice address

320 1St St N
Winter Haven, FL 33881-4113

Phone

(863) 294-5505

Fax

(863) 299-5660

NPI assigned

Apr 7, 2009

Last updated

Jul 18, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Linda P Weaver

Title

Credentialing/Contracting

Phone

(863) 294-5505

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1316180300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 STATE ROAD 60 E",
            "address_2": "SUITE 100",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534310",
            "telephone_number": "863-676-8237",
            "fax_number": "863-676-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 1ST ST N",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814113",
            "telephone_number": "863-294-5505",
            "fax_number": "863-299-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN D. PASS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CREDENTIALING/CONTRACTING",
        "authorized_official_telephone_number": "863-294-5505",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME73921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikea Marie Carlson
• William Carlton, OTA
• Joseph A Carlucci, M.D.
• Teresita Nuguid Carmack
• Sheryl Carney, ARNP
• Richard Joseph Caron, BS
• Rebecca Carpenter Bryan, LMT
• Vanessa Carr
• Felicia Rowell Carrier, FNP-BC
• John L Carroll, DMD

• Specialist in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.