Individual ProviderInge B FordDentistDental ProvidersPractice Address3441 SE Willoughby Blvd, Stuart, FL 34994-5060(772) 221-4030PECOS EnrollmentBased on the most recent information from CMS, provider Inge B Ford does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1073609574Provider TypeIndividualFull NameFord, Inge BTitleDr.CredentialDMDGenderFemaleSole ProprietorNoEnumeration Date10/4/2006Last Updated12/20/2012Contact InformationPractice LocationPractice Address3441 SE Willoughby Blvd, Stuart, FL 34994-5060Phone(772) 221-4030Fax(772) 221-4041Mailing LocationMailing Address3441 SE Willoughby Blvd, Stuart, FL 34994-5060Phone(772) 221-4030Fax(772) 221-4041Provider TaxonomiesCodeDescriptionLicenseCode122300000XPrimaryDescriptionDentistDental ProvidersLicenseDN 13914Florida