| Philbert J. Ford, M.d., Pa | |
|
2009 Miccosukee Rd Tallahassee FL 32308-5359 | |
| (850) 942-2299 | |
| (850) 942-0322 |
| Full Name | Philbert J. Ford, M.d., Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2009 Miccosukee Rd, Tallahassee, Florida |
| Authorized Official Name and Position | Philbert J Ford (OWNER) |
| Authorized Official Contact | 8509422299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philbert J. Ford, M.d., Pa 2009 Miccosukee Rd Tallahassee FL 32308-5359 Ph: (850) 942-2299 | Philbert J. Ford, M.d., Pa 2009 Miccosukee Rd Tallahassee FL 32308-5359 Ph: (850) 942-2299 |
| NPI Number | 1366751471 |
|---|---|
| Provider Enumeration Date | 10/07/2010 |
| Last Update Date | 10/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366751471 | NPI | - | NPPES |
| 278888800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME91513 (Florida) | Primary |
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