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1467181115
ANNIE FORD
CLERMONT, FL
NPI
1467181115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL 9115846)
Enumeration Date
2022-06-08
Last Update Date
2022-06-08
Business Address
ANNIE FORD Physician Assistant
4421 POWDERHORN PLACE DR
CLERMONT, FL 34711-8926
Phone number: 407-705-7587
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Mailing Address
ANNIE FORD Physician Assistant
4421 POWDERHORN PLACE DR
CLERMONT, FL 34711-8926
Phone number: 407-705-7587
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