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
Fax: (727) 786-3855
Website:

Health care specialties

SpecialtyCodeLicense #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 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376773697 NPPES
Florida MEDICAID 110205300

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