Fulford, Elizabeth
Fulford, Elizabeth is an sole proprietor health care provider with primary practice located at 289 Sw Range Ave Suite - C, Madison FL 32340. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fulford, Elizabeth can be contacted via phone (850) 973-2252.Contact Information
Primary practice address
289 Sw Range Ave Suite - C
Madison FL 32340
Phone: (850) 973-2252
Fax: (855) 531-6313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2693972 | Florida |
Profile Details
| NPI number | 1376724542 |
|---|---|
| LBN Legal business name | Fulford, Elizabeth |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2007 |
| Last updated | Jun 22nd, 2020 - 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 | 1376724542 | NPPES |
| Florida | MEDICAID | 307327100 |
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