Individual
JOHN M INGRAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
9632 NW 7TH CIR, APT 1718, PLANTATION, FL 33324-7533
(954) 931-0420
Mailing address
9632 NW 7TH CIR, APT 1718, PLANTATION, FL 33324-7533
(954) 931-0420
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
05/04/2015
Last updated
11/25/2015
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