Provider Demographics
NPI:1164813564
Name:FORD, FRANCIA CATHERINE (ACUPUNCTUREPHYSICIAN)
Entity Type:Individual
Prefix:MRS
First Name:FRANCIA
Middle Name:CATHERINE
Last Name:FORD
Suffix:
Gender:F
Credentials:ACUPUNCTUREPHYSICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 INTERLAKEN RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-3448
Mailing Address - Country:US
Mailing Address - Phone:407-342-5999
Mailing Address - Fax:321-445-5405
Practice Address - Street 1:710 W PRINCETON ST
Practice Address - Street 2:SUITE A
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-5214
Practice Address - Country:US
Practice Address - Phone:904-758-8029
Practice Address - Fax:321-445-5405
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-07
Last Update Date:2015-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3396171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist