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Contact Information

CHRISTINE A FORDHAM, MD
16230 SUMMERLIN RD STE 215
FORT MYERS, FL33908-5769
 Phone: 239-343-6050
 Fax: 239-343-4190
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for CHRISTINE A FORDHAM · (Female)

NPI # 1427316231
Status Active
Credentials MD
Entity Individual
Enumeration date 04/30/2012
Last updated 05/18/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME150942
  • NM License # MD2017-0816
  • FL Medicaid 110539600
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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