| Organization Name: | CAROLINA D. DAVIDE, M.D. INC |
| NPI Number: | 1083904262 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAROLINA DOMINICA DAVIDE (M.D.) |
| Mailing Address: | 85-910 Farrington Hwy Suite 102 Waianae |
| State: | HI US |
| Postal Code: | 967922651 |
| Phone Number: | 8086964044 |
| Fax Number: | 8086964009 |
| NPI Enumeration Date: | 04/08/2011 |
| NPI Last Update Date: | 04/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 12910 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |