Michael W Formisano Md Pa

LBN: Michael W Formisano Md Pa
Michael W Formisano Md Pa is an health care organization with primary practice located at 4024 N Circle Dr , Hollywood FL 33021-6726. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Michael W Formisano Md Pa can be contacted via phone (954) 989-4110, or through Formisano, Michael W via phone (954) 989-4110.

Contact Information

Primary practice address
4024 N Circle Dr Hollywood FL 33021-6726
Phone: (954) 989-4110
Fax: (954) 989-7855
Website:
Map and Directions
Authorized official contact:
Name: Formisano, Michael W MD PA
Phone: (954) 989-4110

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME 91614 Florida

Profile Details

NPI number 1639365158
LBN Legal business name Michael W Formisano Md Pa
DBA Doing business as
Authorized official Formisano, Michael W MD PA
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2007
Last updated Nov 15th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639365158 NPPES
Florida Other ME 91614 ME LICENSE

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