Michael W Formisano MD PA
NPI 1639365158ActiveOrganization· General Practice· Hollywood, FL
General Practice in Hollywood, Florida, registered in NPPES in September 2007. The authorized official on file is Michael W. Formisano, MD PA, President.
Overview
| NPI | 1639365158 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 18, 2007 |
| Last updated in NPPES | Nov 15, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | ME 91614 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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