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Individual

MR. LAWRENCE DANIEL FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP-C

Contact information

Practice address
1005 PINELLAS ST, CLEARWATER, FL 33756-3432
(727) 446-2111
(727) 447-2131
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
(727) 266-4943

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP9357076
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP9357076
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023243400
FL
Enumeration date
10/03/2017
Last updated
01/18/2018
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