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J. Michael Forrest Md Pa
Primary Care Clinic/Center in Plantation, Florida
NPI 1063687507

J. Michael Forrest Md Pa is a Primary Care Clinic/Center based in Plantation, FL and is specialized in Primary Care. J. Michael Forrest Md Pa practices in Plantation, FL. The NPI Number for J. Michael Forrest Md Pa is 1063687507 and holds a License No. ME0062996 (Florida).

The current practice location address for J. Michael Forrest Md Pa is 7420 Nw 5Th St, Plantation, FL and can be reached out via phone at 954-583-6311 and via fax at 954-583-6492.

Location: 7420 Nw 5Th St, Plantation, FL, 33317-1611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063687507
Provider Name
J. Michael Forrest Md Pa
Credential
Provider Entity Type
Organization
Address
7420 Nw 5Th St, Plantation, FL, 33317-1611
Phone Number
954-583-6311
Fax Number
954-583-6492
Provider Enumeration Date
04/25/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
375981400 05 FL
institution
Provider Business Practice Location Address Details
Address
7420 Nw 5Th St
City
Plantation
State
Florida
Zip
33317-1611
Phone Number
954-583-6311
Fax Number
954-583-6492
person
Provider Business Mailing Address Details
Address
7420 Nw 5Th St
City
Plantation
State
Florida
Zip
33317-1611
Phone Number
954-583-6311
Fax Number
954-583-6492
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
ME0062996 (Florida)
Definition
Definition to come...
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