Individual
BRIAN C. FORDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2777 ENTERPRISE RD, ORANGE CITY, FL 32763-8310
(386) 481-6289
(386) 481-6885
Mailing address
2777 ENTERPRISE RD, ORANGE CITY, FL 32763-8310
(386) 481-6289
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME91186
FL
Other
Enumeration date
02/08/2006
Last updated
06/27/2023
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