M W Formisano Md Pa | |
4024 N Circle Dr Hollywood FL 33021-6726 | |
(954) 989-4110 | |
(954) 989-7855 |
Full Name | M W Formisano Md Pa |
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Speciality | General Practice |
Location | 4024 N Circle Dr, Hollywood, Florida |
Authorized Official Name and Position | Michael William Formisano (PRESIDENT) |
Authorized Official Contact | 9549894110 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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M W Formisano Md Pa 4024 N Circle Dr Hollywood FL 33021-6726 Ph: (954) 989-4110 | M W Formisano Md Pa 4024 N Circle Dr Hollywood FL 33021-6726 Ph: (954) 989-4110 |
NPI Number | 1730315490 |
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Provider Enumeration Date | 06/08/2009 |
Last Update Date | 06/08/2009 |
Identifier | Type | State | Issuer |
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1730315490 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ME91614 (Florida) | Primary |
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