Formica, Mistee L.

Formica, Mistee L. is an individual health care provider with primary practice located at 235 E Princeton St Ste 200 , Orlando FL 32804-5555. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Formica, Mistee L. can be contacted via phone (407) 303-1444.

Contact Information

Primary practice address
235 E Princeton St Ste 200 Orlando FL 32804-5555
Phone: (407) 303-1444
Fax: (407) 303-1446
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 431 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APRN11026120 Florida

Profile Details

NPI number 1528228996
LBN Legal business name Formica, Mistee L.
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2008
Last updated Aug 24th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528228996 NPPES
North Carolina MEDICAID 7002155

Popular Providers