Individual
ANNIE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
4421 POWDERHORN PLACE DR, CLERMONT, FL 34711-8926
(407) 705-7587
Mailing address
4421 POWDERHORN PLACE DR, CLERMONT, FL 34711-8926
(407) 705-7587
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9115846
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9115846
PHYSICIAN ASSISTANT LICENSE NUMBER
—
Enumeration date
06/08/2022
Last updated
06/08/2022
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