MRS. AUDREY FRIEDLAND FORD (NPI# 1376773697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376773697 |
Entity Type | Individual |
Full Name | MRS. AUDREY FRIEDLAND FORD |
Credential | PA-C |
Practice Address |
4197 Woodlands Pkwy Palm Harbor FL 34685-3493 |
Practice Telephone | 7277863810 |
Practice Fax Number | 7277863855 |
Mailing Telephone | 7277863810 |
Mailing Fax Number | 7277863855 |
Enumeration Date | 2009-07-21 |
Last Update Date | 2009-07-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9105042 | FL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801322698 | Audrey Sue Ford | Massage Therapist | 205 1/2 Dubois Ln, Saint Helens, OR 97051-2175 | 2017-05-11 |
Street Address |
4197 WOODLANDS PKWY |
City | PALM HARBOR |
State | FL |
Zip Code | 34685-3493 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659564193 | Amy Simon Ross | Dermatology | 4197 Woodlands Pkwy, 2nd Floor, Palm Harbor, FL 34685-3493 | 2007-08-18 |
1427662444 | Jacquelyn Bliss Katchuk Sexton | Nurse Practitioner | 4197 Woodlands Pkwy, Palm Harbor, FL 34685-3493 | 2020-09-08 |
1578059606 | Julie Corinne Bucciarelli | Nurse Practitioner | 4197 Woodlands Pkwy, Palm Harbor, FL 34685-3493 | 2018-07-01 |
1720423932 | Alexis B Honigbaum | Dermatology | 4197 Woodlands Pkwy, Palm Harbor, FL 34685-2823 | 2013-05-01 |
1598020059 | Brandon Shutty | Dermatology | 4197 Woodlands Pkwy, Palm Harbor, FL 34685-3493 | 2012-07-11 |
1063737682 | John C Mavropoulos | Dermatology | 4197 Woodlands Pkwy, Palm Harbor, FL 34685 | 2010-04-07 |
1235460528 | Ashlee Eberhardt Kirkland | Physician Assistant | 4197 Woodlands Pkwy, Palm Harbor, FL 34685-3493 | 2010-01-26 |
1265763676 | Anna Shaw | Nurse Practitioner | 4197 Woodlands Pkwy, Palm Harbor, FL 34685-3493 | 2010-01-25 |
1497927016 | Palm Harbor Dermatology Pa | Dermatology | 4197 Woodlands Pkwy, 2nd Floor, Palm Harbor, FL 34685-3493 | 2008-03-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427663376 | Laura Ashley Birch Williams | Physical Therapy Assistant | 4168 Woodlands Pkwy # A, Palm Harbor, FL 34685 | 2020-09-08 |
1356993398 | Gary Barbosa | Podiatrist | 3182 Edgemoore Drive, Palm Harbor, FL 34685 | 2019-07-10 |
1093277162 | Raza Zaidi | Student in an Organized Health Care Education/Training Program | 3818 Ambassador Dr, Palm Harbor, FL 34685 | 2019-04-05 |
1366965063 | Crestar Labs Fl LLC | Clinical Medical Laboratory | 4714 Ayron Terrace, Palm Harbor, FL 34685 | 2017-07-25 |
1497284038 | Jacquelle Davis | Social Worker | 1261 Bay Harbor Dr Apt 201, Palm Harbor, FL 34685 | 2017-06-07 |
1649693888 | Marliss Rae Jones | Social Worker | 1107 Mainsail Circle, Palm Harbor, FL 34685 | 2014-01-23 |
1427489152 | Best At Home Care LLC | In Home Supportive Care | 1801 East Lake Rd, #3a, Palm Harbor, FL 34685 | 2013-12-05 |
1457622292 | Dennis Hamilton | Pharmacist | 3420 East Lake Rd, Palm Harbor, FL 34685 | 2012-01-25 |
1275770448 | Amy Beach Harcourt | Physical Therapist | 3488 East Lake Rd, Suite 302, Palm Harbor, FL 34685 | 2009-01-09 |
1225223589 | Carolyn Kim Puckett | Physical Therapist | 800 Tarpon Woods Blvd., Suite F1, Palm Harbor, FL 34685 | 2007-09-10 |
Find all providers in zip 34685 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164564993 | Linda J Mangione | Physician Assistant | 33920 Us 19 N Ste 241, Palm Harbor, FL 34684-2672 | 2007-02-12 |
1376593509 | Douglas F Tight | Physician Assistant | 1104 Eniswood Pkwy, Palm Harbor, FL 34683-2022 | 2006-05-10 |
1295702371 | Bethany Lynn Berghoffer | Physician Assistant | 2863 Alt 19, Palm Harbor, FL 34683-1926 | 2006-03-07 |
1972688117 | Steven Warta | Physician Assistant | 4132 Woodlands Pkwy, Palm Harbor, FL 34685-3494 | 2006-10-26 |
1427094994 | Tara Jo Duquette | Physician Assistant | 4132 Woodlands Pkwy, Palm Harbor, FL 34685-3494 | 2006-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
Find all providers with the same taxonomy |
City | PALM HARBOR |
Zip Code | 34685 |
Please comment or provide details below to improve the information on MRS. AUDREY FRIEDLAND FORD.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.