# CTD NETWORK LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851039762
- **Authorized official:** DR. MARK FORD (OWNER)
- **Authorized official phone:** (813) 807-3338

## Contact information

- **Practice address:** 1805 JAMES L REDMAN PKWY STE 201, PLANT CITY, FL 33563-7012
- **Practice address phone:** (813) 807-3338
- **Mailing address:** 2501 WALDEN WOODS DR \# 5412, PLANT CITY, FL 33566-7168
- **Mailing address phone:** (813) 807-3338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 170300000X | Genetic Counselor (M.S.) | — | NULL | — |
| 170300000X | Genetic Counselor (M.S.) | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/23/2022
- **Last updated:** 05/30/2023