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Organization

J. MICHAEL FORREST MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN MICHAEL FORREST M.D. (PHYSICIAN)
(954) 583-6311
Entity
Organization

Contact information

Practice address
7420 NW 5TH ST, SUITE 105, PLANTATION, FL 33317-1611
(954) 583-6311
(954) 583-6492
Mailing address
7420 NW 5TH ST, SUITE 105, PLANTATION, FL 33317-1611
(954) 583-6311
(954) 583-6492

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME0062996
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
375981400
FL
Enumeration date
04/25/2008
Last updated
04/25/2008
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