Organization
CTD NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK FORD (OWNER)
(813) 807-3338
Entity
Organization
Contact information
Practice address
1805 JAMES L REDMAN PKWY STE 201, PLANT CITY, FL 33563-7012
(813) 807-3338
Mailing address
2501 WALDEN WOODS DR # 5412, PLANT CITY, FL 33566-7168
(813) 807-3338
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
—
—
208D00000X
General Practice Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
05/30/2023
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