J. MICHAEL FORREST MD PA NPI 1063687507

NPI Information

NPI: 1063687507
Provider Name: J. MICHAEL FORREST MD PA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
7420 NW 5TH ST
SUITE 105
PLANTATION, FL
ZIP 33317
Phone: (954) 583-6311
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J. MICHAEL FORREST MD PA is a primary care clinic center in Plantation, FL. J. MICHAEL FORREST MD PA NPI is 1063687507. The provider is registered as an organization entity type.

The provider's business location address is:

7420 NW 5TH ST
SUITE 105
PLANTATION, FL
ZIP 33317-611
Phone: (954) 583-6311
Fax: (954) 583-6492

The provider's authorized official is John Michael Forrest .
The authorized official title is Physician and has the following contact phone number (954) 583-6311.

The enumeration date for this NPI number is 4/25/2008 and was last updated on 4/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	ME0062996	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	375981400	MEDICAID	FLORIDA
2	25440	MEDICARE PIN	FLORIDA
3	F84807	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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