| Mistee L Formica, CNM | |
|
235 E Princeton St Ste 200, Orlando, FL 32804-5555 | |
| (407) 303-1444 | |
| (407) 303-1446 |
| Full Name | Mistee L Formica |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 17 Years |
| Location | 235 E Princeton St Ste 200, Orlando, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528228996 | NPI | - | NPPES |
| 7002155 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 431 (North Carolina) | Secondary |
| 367A00000X | Advanced Practice Midwife | APRN11026120 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Hospital Medical Group Inc | 0749186153 | 1237 |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
| Mailing Address | Practice Location Address |
|---|---|
| Mistee L Formica, CNM 235 E Princeton St Ste 200, Orlando, FL 32804-5555 Ph: (407) 303-1444 | Mistee L Formica, CNM 235 E Princeton St Ste 200, Orlando, FL 32804-5555 Ph: (407) 303-1444 |
Mrs. Elizabeth Bonet, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-975-0406 Fax: 407-975-0407 | |
Ms. Tracy M Cowart, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 10524 Moss Park Rd Ste 204-603, Orlando, FL 32832 Phone: 407-974-7171 | |
Ms. Tammy Jeanette Hess, ARNP/CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 7472 Docs Grove Cir, Orlando, FL 32819 Phone: 407-381-7336 Fax: 407-351-6872 | |
Tabitha Faith Clayton, ARNP, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 83 W Miller St, Orlando, FL 32806 Phone: 321-841-5281 Fax: 407-648-9879 | |
Natalie Thornhill, CNM, WHNP-BC Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 83 W Miller St, Orlando, FL 32806 Phone: 321-842-9863 Fax: 407-648-9879 | |
Norma Iris Osorio De Arboleda, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 840 Mercy Dr, Orlando, FL 32808 Phone: 407-905-8827 Fax: 407-905-8998 | |
Dara Bornstein Trafka, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1116 Lucerne Ter, Orlando, FL 32806 Phone: 407-316-8550 Fax: 407-316-8311 |