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

Nathaniel Hamilton Forman, MD

Individual provider Pediatrics Physician · NPI 1629509302

Nathaniel Hamilton Forman, MD is a Pediatric Medicine in Hollywood, Florida. Qualified in 2017, 9 years ago. Practices with Inphynet South Broward LLC, a 67-clinician group, works from 8 locations and accepts Medicare assignment. Licensed in Florida and Ohio.

Years since qualifying
9
Licensed in
FL, OH
In the registry since
2017
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1005 Joe Dimaggio Dr
Hollywood, FL 33021-5487
Phone: (954) 265-5324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (7)

  • 7901 Diley Rd Ste 150, Canal Winchester, OH 43110-9613 — (614) 355-9050
  • 6435 E Broad St, Columbus, OH 43213-1507 — (614) 355-8100
  • 700 Children'S Drive, Columbus, OH 43205 — (614) 722-2000
  • 7450 Hospital Dr Ste 100, Dublin, OH 43016-8364 — (614) 355-7000
  • 4363 All Seasons Dr Ste 100, Hilliard, OH 43026-2050 — (614) 355-5900
  • 100 Colemans Xing, Marysville, OH 43040-7080 — (937) 578-7600
  • 433 N Cleveland Ave, Westerville, OH 43082-8095 — (614) 355-8300

Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X · Licence ME160857 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence 57.03227 (OH)
Pediatrics Physician Taxonomy 208000000X · Licence 35139206 (OH)
Pediatrics Physician Taxonomy 208000000X · Licence ME160857 (FL)
Pediatric Emergency Medicine (Pediatrics) Physician Taxonomy 2080P0204X · Licence 35139206 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1629509302
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2017
Last updated in NPPESJune 29, 2023
Certification dateJune 29, 2023
Mailing address2615 Ne 15th St, Fort Lauderdale, FL 33304-1509

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Inphynet South Broward Llc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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