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NPI Code Detail

MEDICARE: THALIA CHRISTINA FORD ARNP

MEDICARE: THALIA CHRISTINA FORD ARNP
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
1363LF0000XFamily Nurse PractitionerARNP9306565FL
2363LP0808XPsychiatric/Mental Health Nurse Practitioner9306565FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134614977
Entity Type Code : Individual
Provider Name (Legal Business Name) : THALIA CHRISTINA FORD ARNP
Provider Business Mailing Address
First Line : 668 MAITLAND AVE
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32701-6862
Country : US
Telephone Number : 407-675-3220
Fax Number : 407-675-3216
Provider Business Practice Location Address
First Line : 668 MAITLAND AVE
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32701-6862
Country : US
Telephone Number : 407-675-3220
Fax Number : 407-675-3216
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2018
Last Update Date : 03/24/2025

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