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Individual

DR. MICHAEL JOHN FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2040 FLEISCHMANN RD, TALLAHASSEE, FL 32308-4599
(850) 422-3376
(850) 205-7182
Mailing address
2040 FLEISCHMANN RD, TALLAHASSEE, FL 32308-4599
(850) 422-3376
(850) 205-7182

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME53580
FL
207ND0101X
MOHS-Micrographic Surgery Physician
ME53580
FL
207ND0900X
Dermatopathology Physician
ME53580
FL
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
ME53580
FL
207NP0225X
Pediatric Dermatology Physician
ME53580
FL
207NS0135X
Procedural Dermatology Physician
ME53580
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000652800
FL
Enumeration date
06/01/2005
Last updated
10/23/2009
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