Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213ES0103X | Foot & Ankle Surgery | N006179 | NY |
Y | 213ES0103X | Foot & Ankle Surgery | P03315 | FL |
NPI | 1033265533 |
---|---|
Provider Name | Leah Hilary Ford |
First Address | Pembroke Pines, FL 33029-2953 |
Second Address | Pembroke Pines, FL 33029-2953 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2007 |
Last Update Date | 11/05/2010 |