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NPI Code Detail

MEDICARE: ILINAH MONIQUE FORD FNP-C

MEDICARE: ILINAH MONIQUE FORD FNP-C
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 Practitioner1206237TX

General Provider Information

NPI Number : 1982493235
Entity Type Code : Individual
Provider Name (Legal Business Name) : ILINAH MONIQUE FORD FNP-C
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number : 407-533-6836
Fax Number : 407-770-0661
Provider Business Practice Location Address
First Line : 4918 AYERS ST STE 130
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78415-1431
Country : US
Telephone Number : 361-400-4355
Fax Number : 361-225-0015
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2025
Last Update Date : 04/07/2026

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