Micah J Forman, ARNP | |
4100 Metric Dr, Suite 200, Winter Park, FL 32792-6837 | |
(407) 681-8720 | |
(407) 681-8729 |
Full Name | Micah J Forman |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 4100 Metric Dr, Winter Park, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689972192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | ARNP9169904 (Florida) | Primary |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191209002247 |
Mailing Address | Practice Location Address |
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Micah J Forman, ARNP 807 S Orlando Ave, Suite C, Winter Park, FL 32789-4870 Ph: (407) 894-4693 | Micah J Forman, ARNP 4100 Metric Dr, Suite 200, Winter Park, FL 32792-6837 Ph: (407) 681-8720 |
Latoya K Elmes, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1693 Lee Rd Ste B, Winter Park, FL 32789 Phone: 407-622-5766 Fax: 407-622-5767 | |
Naina Sebastian, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3695 Bear Gully Rd # 3695, Winter Park, FL 32792 Phone: 407-782-3288 | |
Mary Catherine Lucy Hansen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 N Virginia Dr, Winter Park, FL 32789 Phone: 407-599-3434 Fax: 407-599-3438 | |
Thuy Anh Lai, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 839 N Orlando Ave, Winter Park, FL 32789 Phone: 407-647-1862 | |
Miss Shaquille C Littles, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 N Lakemont Ave, Winter Park, FL 32792 Phone: 407-622-2030 | |
Mrs. Sandra Ruby Weisstein, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Holt Ave, 2727, Winter Park, FL 32789 Phone: 407-646-2512 | |
Mrs. Rachel Gainsford, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1605 W Fairbanks Ave, Winter Park, FL 32789 Phone: 407-975-0200 Fax: 407-975-0209 |