Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

M W Formisano MD PA

Organization General Practice Physician · NPI 1730315490

M W Formisano MD PA is a General Practice Physician in Hollywood, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4024 N Circle Dr
Hollywood, FL 33021-6726
Phone: (954) 989-4110
Fax: (954) 989-7855
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ME91614 (FL)

Record details

NPI number1730315490
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Formisano — President · (954) 989-4110
NPI enumeratedJune 8, 2009
Last updated in NPPESJune 8, 2009
Mailing address4024 N Circle Dr, Hollywood, FL 33021-6726

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