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Individual

DR. JUSTIN JOELL FORDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0655
Mailing address
PO BOX 100214, GAINESVILLE, FL 32610-0214
(352) 265-0655

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
97206
GA
207RG0100X
Gastroenterology Physician
Primary
ME155892
FL

Other

Enumeration date
03/31/2016
Last updated
09/08/2023
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