Individual
JOEL LEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3334 CAPITAL MEDICAL BLVD, SUITE 400, TALLAHASSEE, FL 32308-8405
(850) 877-8174
(850) 877-5636
Mailing address
3334 CAPITAL MEDICAL BLVD, SUITE 400, TALLAHASSEE, FL 32308-8405
(850) 877-8174
(850) 877-5636
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102309
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291917600
—
FL
Enumeration date
05/27/2005
Last updated
01/13/2012
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