AUDREY F FORD

PALM HARBOR DERMATOLOGY PA

Dr AUDREY F FORD is a female medical professional, specializing in Physician Assistant. She graduated in 2009.

Contact

PALM HARBOR DERMATOLOGY PA

4197 WOODLANDS PKWY
2ND FLOOR
PALM HARBOR
FL
346853493

Tel: 7277863810

AUDREY F FORD Information

Npi 1376773697
Pac Id 7911053533
Professional Enrollment Id I20090923000798
Last Name FORD
First Name AUDREY
Middle Name F
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2009
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PALM HARBOR DERMATOLOGY PA
Group Practice Pac Id 4789758558
Number Of Group Practice Members 25
Line 1 Street Address 4197 WOODLANDS PKWY
Line 2 Street Address 2ND FLOOR
Marker Of Address Line 2 Suppression
City PALM HARBOR
State FL
Zip Code 346853493
Phone Number 7277863810
Hospital Affiliation Ccn 1 100127
Hospital Affiliation Lbn 1 MORTON PLANT HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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