Individual
JOSEPH P FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
951 N WASHINGTON AVE, TITUSVILLE, FL 32796-2163
(321) 268-6111
Mailing address
951 N WASHINGTON AVE, TITUSVILLE, FL 32796-2194
(321) 268-6111
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
19025
NE
207L00000X
Anesthesiology Physician
Primary
ME107778
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004195800
—
FL
Enumeration date
05/31/2006
Last updated
03/23/2022
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