Micah J. Forman, ARNP

Nurse Practitioner · Winter Park, FL

Individual Active NPI

NPI number 1689972192

Practice location

4100 Metric Dr
Suite 200
Winter Park, FL 32792-6837
Phone
(407) 681-8720
Fax
(407) 681-8729

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NPI record

NPI
1689972192
Entity type
Individual (Type 1)
Enumeration date
March 8, 2011
Last updated
March 8, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X ARNP9169904 FL

Mailing address

807 S Orlando Ave
Suite C
Winter Park, FL 32789-4870
Phone
(407) 894-4693
Fax
(407) 261-3869

About Micah Forman

Micah J. Forman, ARNP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 4100 Metric Dr, Suite 200, Winter Park, FL 32792-6837. The NPI number 1689972192 was assigned on March 8, 2011 and the record was last updated on March 8, 2011.

Micah Forman lists a license in the registry: #ARNP9169904 (FL) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Micah J. Forman, ARNP?

The NPI number is 1689972192.

What is the phone number of Micah Forman?

The phone number listed for the practice location is (407) 681-8720.

Where is Micah Forman located?

4100 Metric Dr, Suite 200, Winter Park, FL 32792-6837.

What is the taxonomy code for Micah Forman?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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