Healthcare Provider Details

I. General information

NPI: 1801864079
Provider Name (Legal Business Name): RICHARD J HONER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 06/12/2024
Certification Date: 06/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 1ST ST N
WINTER HAVEN FL
33881-4129
US

IV. Provider business mailing address

2995 DREW ST
CLEARWATER FL
33759-3012
US

V. Phone/Fax

Practice location:
  • Phone: 863-294-0670
  • Fax: 863-298-3200
Mailing address:
  • Phone: 727-315-7496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberME45256
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: