Organization
SOUTHEASTERN CENTER FOR INFECTIOUS DISEASES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILBERT J FORD M.D. (PHYSICIAN)
(850) 942-2299
Entity
Organization
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
ME91513
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275226300
—
FL
Enumeration date
02/14/2007
Last updated
10/26/2011
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