Provider Demographics
NPI:1689562290
Name:MORFORD, PERLA RUIZ
Entity type:Individual
Prefix:
First Name:PERLA
Middle Name:RUIZ
Last Name:MORFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8019 ARCADIAN CT
Mailing Address - Street 2:
Mailing Address - City:MOUNT DORA
Mailing Address - State:FL
Mailing Address - Zip Code:32757-9123
Mailing Address - Country:US
Mailing Address - Phone:630-715-3047
Mailing Address - Fax:
Practice Address - Street 1:8019 ARCADIAN CT
Practice Address - Street 2:
Practice Address - City:MOUNT DORA
Practice Address - State:FL
Practice Address - Zip Code:32757-9123
Practice Address - Country:US
Practice Address - Phone:630-715-3047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-24
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11040593363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily