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Licenses
Physician Assistant
Florida
9100319
MICHAEL W FORMISANO
Physician Assistant at Cir Dr, Hollywood, FL
License number
Florida 9100319
Issued Date
Jun 1, 1998
Effective Date
Feb 17, 2010
Expiration Date
Jan 31, 2008
Category
Health Care
Type
Physician Assistant
Address
Address
4024 N Circle Dr, Hollywood, FL 33021
Organization information
See more information about
MICHAEL W FORMISANO at bizstanding.com
Michael W Formisano MD
4437 Hollywood Blvd, Hollywood, FL 33021
Categories:
Family & General Practice Physicians & Surgeons
Phone:
(954) 613-7198
(Phone)
Michael W Formisano MD
4024 N Cir Dr, Hollywood, FL 33021
Categories:
Family & General Practice Physicians & Surgeons, Osteopathic Physicians & Surgeons, Physicians & Surgeons
Phone:
(954) 989-4110
(Phone)
Michael W. Formisano, M.D. PA
4024 N Cir Dr, Hollywood, FL 33021
Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Jan 25, 2005
State ID:
P05000012599
Business type:
Domestic for Profit Corporation
Director:
Michael W. Formisano
Director, inactive
Professional information
Dr. Michael W Formisano, Hollywood FL - MD (Doctor of Medicine)
Specialties:
Family Medicine
Address:
4024 N Circle Dr, Hollywood 33021
(954) 989-4110 (Phone)
,
(954) 989-7855 (Fax)
Languages:
English
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1600 N 15Th Ter, Hollywood, FL 33020
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8444 Windsor Dr, Hollywood, FL 33025
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