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NPI Code Detail

MEDICARE: ERICA N. FORD APRN

MEDICARE: ERICA N. FORD APRN
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
1363LA2200XAdult Health Nurse PractitionerAPRN9277686FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Y0309OTHERFLFLORIDA BLUE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
37319197OTHERFLUNITED
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497137780
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA N. FORD APRN
Provider Business Mailing Address
First Line : 500 E CENTRAL AVE
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33880-3094
Country : US
Telephone Number : 863-293-1191
Fax Number :
Provider Business Practice Location Address
First Line : 500 E CENTRAL AVE
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33880-3094
Country : US
Telephone Number : 863-293-1191
Fax Number : 863-508-2293
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2015
Last Update Date : 02/08/2026

Similar Medicare Providers

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Practice Location Address:
500 E CENTRAL AVE
WINTER HAVEN, FL
33880-3094
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Practice Fax:
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1144707662 — ERIN ASHLEY WARNER ARNP
Practice Location Address:
500 E CENTRAL AVE
WINTER HAVEN, FL
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Practice Fax:
1982178950 — CHARLENE C LUEBCKE CSFA
Practice Location Address:
500 E CENTRAL AVE
WINTER HAVEN, FL
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1144871773 — TAMER M ELFALLAL NURSE PRACTITIONER
Practice Location Address:
500 E CENTRAL AVE
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