Michael W Formisano MD PA
Michael W Formisano MD PA is a General Practice Physician in Hollywood, Florida. Licensed in Florida. Registered with an NPI since 2007.
- Licensed in
- FL
- In the registry since
- 2007
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4024 N Circle DrHollywood, FL 33021-6726
Phone: (954) 989-4110
Fax: (954) 989-7855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence ME 91614 (FL) |
|---|
Record details
| NPI number | 1639365158 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Formisano — President · (954) 989-4110 |
| NPI enumerated | September 18, 2007 |
| Last updated in NPPES | November 15, 2007 |
| Mailing address | 3939 Hollywood Blvd, Suite 2b, Hollywood, FL 33021-6749 |
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M W Formisano MD PA
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