Healthcare Provider Details

I. General information

NPI: 1467995365
Provider Name (Legal Business Name): EMILY FORD ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2016
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1617 S TUTTLE AVE STE 1A
SARASOTA FL
34239-3132
US

IV. Provider business mailing address

1617 S TUTTLE AVE STE 1A
SARASOTA FL
34239-3132
US

V. Phone/Fax

Practice location:
  • Phone: 941-799-5753
  • Fax: 888-814-0877
Mailing address:
  • Phone: 941-799-5753
  • Fax: 888-814-0877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberARNP9184961
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: