Micah Forman, ARNP

NPI 1689972192 · on the registry since 2011 · sole proprietor

Practice

Address: 4100 Metric Dr
Suite 200
Winter Park, FL 32792
Phone: (407) 681-8720
Fax: (407) 681-8729
Organisation at this address: Total Renal Care Inc
Total Renal Care Inc
Dialysis Ser Central Florida Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: Nurse Practitioner
363L00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-03-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida