MEDICARE: PAULINA CECILIA FORD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor	17845	FL

General Provider Information

NPI Number	:	1720939556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULINA CECILIA FORD

Provider Business Mailing Address
First Line	:	1192 BAY VIEW WAY
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-3146
Country	:	US
Telephone Number	:	561-318-5571
Fax Number	:

Provider Business Practice Location Address
First Line	:	1192 BAY VIEW WAY
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-3146
Country	:	US
Telephone Number	:	561-318-5571
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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Directions to “ PAULINA CECILIA FORD ” Practice Location

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