J. MICHAEL FORREST MD PA
Ambulatory Health at 5 St, Fort Lauderdale, FL

License number
Florida ME0062996
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. JOHN MICHAEL FORREST M.D.
Title: PHYSICIAN
Phone: (954) 583-6311
Address
Address
7420 NW 5Th St SUITE 105, Fort Lauderdale, FL 33317
National Provider ID: 1063687507
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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J. Michael Forrest, M.D., PA

7420 NW 5 St, Fort Lauderdale, FL 33317

Status:
Inactive
Registration:
Aug 9, 1994
State ID:
P94000059222
Business type:
Domestic for Profit Corporation
President, Directors:
Patricia A. Parke President, Director, Secretary, inactive,John M. Forrest President, Director, inactive
Agent:
Howard W. Gordon

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