Individual
MICHAEL FORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AP
Contact information
Practice address
1900 PURDY AVE, APT 1014, MIAMI BEACH, FL 33139-1400
(305) 741-2102
(786) 364-7365
Mailing address
1900 PURDY AVE, APT 1014, MIAMI BEACH, FL 33139-1400
(305) 741-2102
(786) 364-7365
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
3318
FL
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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