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GARRETT FORMAN MD, MPH
NPI 1053257089
Student in an Organized Health Care Education/Training Program in Tampa, FL

Active since April 23, 2026
3003 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607(813) 554-8126 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Garrett Forman Md, Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARRETT FORMAN MD, MPH (NPI 1053257089) is an individual student in an organized health care education/training program in Tampa, Florida and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1053257089
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGARRETT FORMANCredential: MD, MPH
Location Address3003 W DR MARTIN LUTHER KING JR BLVDTampa, FL 33607-6307
Mailing Address3003 W Dr Martin Luther King Jr BlvdTampa, FL 33607-6307 · (813) 554-8126
Phone(813) 554-8126
Sole ProprietorNo
Enumeration DateApril 23, 2026
NPPES CertifiedApril 23, 2026
✔ NPI 1053257089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3003 W DR MARTIN LUTHER KING JR BLVD, Tampa, FL 33607
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTOR KRIZAN
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
JESSE BLAIR
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
JAD HAMDEN MD
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
DR. GAGAN GNANESWARA MIDATHALA MD
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
ANTONIO FRANCISCO PEREZ
Psychiatry & Neurology (Psychiatry)
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
ANGALINA QUINONES DO
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
SAMANTHA BOGARD DO
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
KATHRYN MARIE COUTURE KELLY MD
Hospitalist
3003 W DR MARTIN LUTHER KING JR BLVD, CHRONIC COMPLEX CLINIC
TAMPA, FL 33607
Hillsborough County (813) 554-8121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Garrett Forman's NPI number?

The NPI number for Garrett Forman is 1053257089. It was assigned to this individual provider in the NPPES registry on April 23, 2026.

Where is Garrett Forman located?

Garrett Forman practices at 3003 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607. The listed phone number is (813) 554-8126.

What is Garrett Forman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Garrett Forman was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.