Robert E Ford, Md, Pa | |
2828 S Tamiami Trl Sarasota FL 34239-5103 | |
(941) 925-9355 | |
(941) 925-9359 |
Full Name | Robert E Ford, Md, Pa |
---|---|
Speciality | Family Medicine |
Location | 2828 S Tamiami Trl, Sarasota, Florida |
Authorized Official Name and Position | Robert E Ford (OWNER) |
Authorized Official Contact | 9419259355 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Robert E Ford, Md, Pa 2828 S Tamiami Trl Sarasota FL 34239-5103 Ph: (941) 925-9355 | Robert E Ford, Md, Pa 2828 S Tamiami Trl Sarasota FL 34239-5103 Ph: (941) 925-9355 |
NPI Number | 1265612766 |
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Provider Enumeration Date | 11/13/2007 |
Last Update Date | 01/18/2010 |
Medicare PECOS PAC ID | 5597725986 |
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Medicare Enrollment ID | O20041011000445 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265612766 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME0063089 (Florida) | Primary |
Provider Name | Robert Emil Ford |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790753242 PECOS PAC ID: 2860452257 Enrollment ID: I20041013000210 |
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