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

Individual provider Nurse Practitioner · NPI 1952148736

Brianna Taylor Formosa is a Nurse Practitioner in Fort Lauderdale, Florida. Qualified in 2024, 2 years ago. Practices with Cancer Center of South Florida PLLC, a 46-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
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Practice location Address checks out

1368 NW 34th Way
Fort Lauderdale, FL 33311-8349
Phone: (305) 987-3020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11033917 (FL)

Record details

NPI number1952148736
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 10, 2024
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Cancer Center Of South Florida Pllc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Lauderdale