Organization · Type 2 NPI

M W Formisano MD PA

General Practice Physician · Hollywood, FL

NPI number 1730315490 Active

Practice location

4024 N Circle Dr
Hollywood, FL 33021-6726

Call (954) 989-4110 Map

Fax (954) 989-7855

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XME91614 (FL)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1730315490

M W Formisano MD PA's National Provider Identifier is 1730315490, issued on Jun 8, 2009. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Hollywood, FL. The record was last updated on Jun 8, 2009.