Ford, Mariah Jade

Ford, Mariah Jade is an individual health care provider with primary practice located at 1005 E Boyer St , Tarpon Springs FL 34689-5501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ford, Mariah Jade can be contacted via phone (727) 934-7638.

Contact Information

Primary practice address
1005 E Boyer St Tarpon Springs FL 34689-5501
Phone: (727) 934-7638
Fax: (727) 944-4052
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9116401 Florida

Profile Details

NPI number 1326769803
LBN Legal business name Ford, Mariah Jade
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2022
Last updated Jun 30th, 2023 - about last year

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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