Ford, Audrey Friedland
Ford, Audrey Friedland is an individual health care provider with primary practice located at 4197 Woodlands Pkwy , Palm Harbor FL 34685-3493. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ford, Audrey Friedland can be contacted via phone (727) 786-3810.Contact Information
Primary practice address
4197 Woodlands Pkwy
Palm Harbor FL 34685-3493
Phone: (727) 786-3810
Fax: (727) 786-3855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9105042 | Florida |
Profile Details
| NPI number | 1376773697 |
|---|---|
| LBN Legal business name | Ford, Audrey Friedland |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2009 |
| Last updated | Mar 31st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376773697 | NPPES |
| Florida | MEDICAID | 110205300 |
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