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Individual

PHILBERT J FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2009 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5359
(850) 942-2299
(850) 942-0322
Mailing address
2009 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5359
(850) 942-2299
(850) 942-0322

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME 91513
FL
207R00000X
Internal Medicine Physician
ME91513
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2752263
FL
Enumeration date
07/14/2006
Last updated
04/22/2015
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