Individual
NEPHATARI FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24901 SW 130TH AVE APT 101, PRINCETON, FL 33032-4100
(305) 890-4886
Mailing address
24901 SW 130TH AVE APT 101, PRINCETON, FL 33032-4100
(305) 890-4886
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
L19000249211
FL
332BC3200X
Customized Equipment (DME)
Primary
L19000249211
FL
Other
Enumeration date
01/26/2017
Last updated
11/03/2021
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