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Individual

MARIKO BIRD FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
52 UNDERWOOD ST, ORLANDO, FL 32806-1110
(407) 712-8131
(321) 843-2196
Mailing address
52 UNDERWOOD ST, ORLANDO, FL 32806-1110
(407) 712-8131
(321) 843-2196

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A97901
CA
207L00000X
Anesthesiology Physician
Primary
ME145119
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
107255400
FL
Enumeration date
08/17/2006
Last updated
11/06/2025
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