Individual
MRS. BRANDE M FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
25 HOSPITAL DR, LAKELAND, GA 31635-5716
(912) 584-2525
Mailing address
25 HOSPITAL DR, LAKELAND, GA 31635-5716
(912) 584-2525
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
160489
FL
Other
Enumeration date
04/18/2025
Last updated
04/27/2025
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