Individual
MR. LARANCE FORD II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1141 NW 16TH ST, FT LAUDERDALE, FL 33311-4757
(786) 343-9911
Mailing address
1141 NW 16TH ST, FT LAUDERDALE, FL 33311-4757
(786) 343-9911
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
MA54290
FL
173C00000X
Reflexologist
MA54290
FL
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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