Individual
HENRI RONALD FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136
(305) 585-5437
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-5437
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME136894
FL
2086S0120X
Pediatric Surgery Physician
G87405
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G874050
—
CA
Enumeration date
09/28/2006
Last updated
06/28/2018
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