Ford, Jason D

Ford, Jason D is an individual health care provider with primary practice located at 636 Del Prado Blvd S , Cape Coral FL 33990-2668. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Ford, Jason D can be contacted via phone (239) 424-3120.

Contact Information

Primary practice address
636 Del Prado Blvd S Cape Coral FL 33990-2668
Phone: (239) 424-3120
Fax: (239) 424-4041
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN9247573 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9247573 Florida

Profile Details

NPI number 1386932697
LBN Legal business name Ford, Jason D
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2011
Last updated Oct 5th, 2023 - 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 1386932697 NPPES
Florida MEDICAID 003805800

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