Healthcare Provider Details

I. General information

NPI: 1538686118
Provider Name (Legal Business Name): ASHFORD CONSOLIDATED, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2017
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 NORTH BAY STREET SUITE 103
EUSTIS FL
32726
US

IV. Provider business mailing address

2586 WOODSIDE RIDGE DR
APOPKA FL
32712-6481
US

V. Phone/Fax

Practice location:
  • Phone: 586-291-2279
  • Fax: 352-577-0399
Mailing address:
  • Phone: 586-291-2279
  • Fax: 352-577-0399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DURRAND ASHFORD
Title or Position: PRESIDENT
Credential:
Phone: 586-291-2279