Doctor Name: | MS. FRANCESANN FORD |
NPI Number: | 1790837011 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | ME106007 |
Business Practice Address: | 3 Sw 129th Ave Suite 100 Pembroke Pines, FL - 330271775 |
Business Phone Number: | 9546742255 |
Business Fax Number: | 9548895346 |
Mailing Address: | 3 Sw 129th Ave, Suite 100 PEMBROKE PINES |
State: | FL |
Postal Code: | 330271775 |
Phone Number: | 9546742255 |
Fax Number: | 9548895346 |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 06/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME106007 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |