Organization
FORCARE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SETH B FORMAN MD (MEDICAL DIRECTOR)
(813) 956-9170
Entity
Organization
Contact information
Practice address
15402 N FLORIDA AVE, TAMPA, FL 33613-1244
(813) 956-9170
Mailing address
15402 N FLORIDA AVE, TAMPA, FL 33613-1244
(813) 956-9170
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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