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MICHAEL W FORMISANO MD PA
NPI 1639365158
General Practice in Hollywood, FL

Active since September 18, 2007
4024 N CIRCLE DR, HOLLYWOOD, FL 33021(954) 989-4110(954) 989-7855 Get Directions Write a Review

NPPES record last updated: November 15, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael W Formisano Md Pa NPPES

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

MICHAEL W FORMISANO MD PA (NPI 1639365158) is a healthcare organization registered as a general practice in Hollywood, Florida and active in the NPI registry since September 2007. The organization lists Michael W Formisano, President, as its authorized official.

NPPES Registry Identity

NPI1639365158
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMICHAEL W FORMISANO MD PA
Location Address4024 N CIRCLE DRHollywood, FL 33021-6726
Mailing Address3939 Hollywood Blvd, Suite 2bHollywood, FL 33021-6749 · (954) 989-4110 · Fax (954) 989-7855
Phone(954) 989-4110
Fax(954) 989-7855
Organization SubpartNo
Authorized OfficialMichael W FormisanoPresident · (954) 989-4110
Enumeration DateSeptember 18, 2007
Last NPPES UpdateNovember 15, 2007
✔ NPI 1639365158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ME 91614
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4024 N CIRCLE DR, Hollywood, FL 33021
Open in Google Maps ↗

Other Identifiers 1

OtherME 91614FL · Me License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

M W FORMISANO MD PA
General Practice
4024 N CIRCLE DR
HOLLYWOOD, FL 33021
Broward County (954) 989-4110

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 Michael W Formisano MD PA's NPI number?

The NPI number for Michael W Formisano MD PA is 1639365158. It was assigned to this organization in the NPPES registry on September 18, 2007.

Where is Michael W Formisano MD PA located?

Michael W Formisano MD PA is located at 4024 N Circle Dr, Hollywood, FL 33021. The listed phone number is (954) 989-4110.

What is Michael W Formisano MD PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Michael W Formisano MD PA was last updated on November 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.