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Organization
MITCHELL FORMAN MD PA
Active
Organization
MITCHELL FORMAN MD PA
Active
Other names
New Tampa Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCH FORMAN MD (OWNER)
(813) 929-3600
Entity
Organization
Contact information
Practice address
1644 BRUCE B DOWNS BLVD, WESLEY CHAPEL, FL 33544-8600
(813) 929-3600
Mailing address
1644 BRUCE B DOWNS BLVD, WESLEY CHAPEL, FL 33544-8600
(813) 929-3600
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/21/2006
Last updated
10/25/2010
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