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NPI Code Detail

MEDICARE: WILLIAM J FORD III M.D.

MEDICARE:   WILLIAM J FORD III M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianME65353FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013910702
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM J FORD III M.D.
Provider Business Mailing Address
First Line : 2675 WINKLER AVE
Second Line : FL 2
City : FORT MYERS
State : FL
Zip : 33901-9342
Country : US
Telephone Number : 952-595-1301
Fax Number : 612-294-4903
Provider Business Practice Location Address
First Line : 4301 GULF SHORE BLVD N APT 1002
Second Line :
City : NAPLES
State : FL
Zip : 34103
Country : US
Telephone Number : 952-595-1100
Fax Number : 612-294-4903
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 12/19/2019

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