Individual
GREGORY FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 881-2337
Mailing address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 881-2337
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9112321
FL
Other
Enumeration date
12/11/2015
Last updated
11/24/2025
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