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Individual

DR. ROBERT C FORD III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-7000
Mailing address
1775 W HIBISCUS BLVD, SUITE 215, MELBOURNE, FL 32901-2620
(321) 837-3825
(321) 837-3654

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34010661
OH
207P00000X
Emergency Medicine Physician
Primary
OS12456
FL

Other

Enumeration date
06/22/2011
Last updated
12/31/2014
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