Provider Demographics
NPI:1790837011
Name:FORD, FRANCESANN (MD)
Entity type:Individual
Prefix:MS
First Name:FRANCESANN
Middle Name:
Last Name:FORD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 SW 129TH AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027-1775
Mailing Address - Country:US
Mailing Address - Phone:954-674-2255
Mailing Address - Fax:954-889-5346
Practice Address - Street 1:3 SW 129TH AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33027-1775
Practice Address - Country:US
Practice Address - Phone:954-674-2255
Practice Address - Fax:954-889-5346
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME106007207W00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCZ934ZMedicare PIN