Provider Demographics
NPI:1720152036
Name:HO, KAUKWOK FREDERICK (MD)
Entity type:Individual
Prefix:
First Name:KAUKWOK
Middle Name:FREDERICK
Last Name:HO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:K
Other - Middle Name:FREDERICK
Other - Last Name:HO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:8040 N WICKHAM RD
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-8298
Mailing Address - Country:US
Mailing Address - Phone:321-757-7272
Mailing Address - Fax:321-757-7273
Practice Address - Street 1:8040 N WICKHAM RD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-8298
Practice Address - Country:US
Practice Address - Phone:321-757-7272
Practice Address - Fax:321-757-7273
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0050741207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL03789YMedicare PIN
D69013Medicare UPIN