Individual
KAREN GOFF FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
252 W MARION AVE, SUITE 1124, PUNTA GORDA, FL 33950-4442
(941) 286-6399
Mailing address
252 W MARION AVE, SUITE 1124, PUNTA GORDA, FL 33950-4442
(941) 286-6399
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA19505
FL
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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