MITCHELL FORMAN, M.D., P.A. (NPI# 1720392558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720392558 |
| Entity Type | Organization |
| Organization Name | MITCHELL FORMAN, M.D., P.A. |
| Other Organization Name | NEW TAMPA URGENT CARE |
| Practice Address |
1644 Bruce B Downs Blvd Wesley Chapel FL 33544-8600 |
| Mailing Address |
6414 Renwick Cir Tampa FL 33647-1172 |
| Practice Telephone | 8139293600 |
| Practice Fax Number | 8138668890 |
| Mailing Telephone | 8139293600 |
| Mailing Fax Number | 8138668890 |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2010-08-04 |
| Authorized Official Name | MITCHELL FORMAN (OWNER) |
| Authorized Official Telephone | 8139293600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| New Tampa Urgent Care | Doing Business As Name - Organization |
| Street Address |
1644 BRUCE B DOWNS BLVD |
| City | WESLEY CHAPEL |
| State | FL |
| Zip Code | 33544-8600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316938293 | Rachel M Harris | Family Medicine | 1644 Bruce B Downs Blvd, Wesley Chapel, FL 33544-8600 | 2005-10-31 |
| 1063924512 | New Tampa Family Dentistry | Dentist | 1644 Bruce B Downs Blvd, Wesley Chapel, FL 33544-8600 | 2017-10-24 |
| 1659446045 | Mitchell Forman Md Pa | Clinic/Center | 1644 Bruce B Downs Blvd, Wesley Chapel, FL 33544-8600 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871128413 | White Sands Home Health Care, Inc. | Registered Nurse | 4913 Pennecott Way, Wesley Chapel, FL 33544 | 2020-03-04 |
| 1932684560 | Jeneva M Barber | Counselor | 2824 Windguard Cir Ste 102, Wesley Chapel, FL 33544 | 2018-09-28 |
| 1457837874 | James Bishop | Physician Assistant | 2352 Bruce B Downs Blvd # 102, Wesley Chapel, FL 33544 | 2018-07-18 |
| 1396231411 | Florida Autism Center | Behavioral Analyst | 2389 Oak Myrtle Lane, Wesley Chapel, FL 33544 | 2018-07-02 |
| 1770094658 | Optimal Performance and Physical Therapies Wesley Chapel, LLC | Physical Therapist | 26830 Ridgebrook Dr, Suite 102, Wesley Chapel, FL 33544 | 2017-10-18 |
| 1942726690 | Phillip Montoure | Physical Therapist | 26830 Ridgerbrook Drive, Suite 102, Wesley Chapel, FL 33544 | 2017-08-15 |
| 1245760602 | Molinares Medical Center, LLC | Family Medicine | 2312 Crestover Lane, Ste 101, Wesley Chapel, FL 33544 | 2017-06-18 |
| 1700332558 | Qvita Health & Wellness, LLC | Clinic/Center | 2734 Windguard Circle, Suite 101, Welsy Chapel, FL 33544 | 2016-08-31 |
| 1740648724 | Graceful Caring | Health Maintenance Organization | 26834 Shoregrass Dr, Wesley Chapel, FL 33544 | 2016-02-04 |
| 1992187520 | Alexander Felipe Marrero-plasencia | Dentist | 1945 Noor Street, Apartment # 404, Wesley Chapel, FL 33544 | 2015-06-19 |
| Find all providers in zip 33544 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982949731 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1127 Bruce B. Downs Blvd., Wesley Chapel, FL 33544 | 2012-12-05 |
| 1194198382 | Synergic Healthcare Solutions LLC | Clinic/Center | 5504 Gateway Blvd, Wesley Chapel, FL 33544-1900 | 2015-11-10 |
| 1659446045 | Mitchell Forman Md Pa | Clinic/Center | 1644 Bruce B Downs Blvd, Wesley Chapel, FL 33544-8600 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588744 | Adventist Health System/ Sunbelt, Inc. | Clinic/Center | 3708 Sw College Rd, Ocala, FL 34474-4441 | 2020-11-05 |
| 1689273187 | American Urgent Care and Walk In Clinics LLC | Clinic/Center | 601 Gray Ave, Wildwood, FL 34785-3520 | 2020-10-26 |
| 1619575529 | Medec Urgent Care Pllc | Clinic/Center | 600 Garden St, Titusville, FL 32796-3489 | 2020-10-13 |
| 1144835182 | Adventist Health System/sunbelt, Inc | Clinic/Center | 11826 State Road 54, Odessa, FL 33556-3496 | 2020-09-15 |
| 1528671096 | Crucialist LLC | Clinic/Center | 4230 Pablo Professional Ct Ste 103, Jacksonville, FL 32224-3223 | 2020-08-25 |
| 1194334961 | Md Now Medical Centers Inc | Clinic/Center | 4332 Cortez Rd W, Bradenton, FL 34210-3139 | 2020-07-28 |
| 1558970327 | Md Now Medical Centers Inc | Clinic/Center | 15165 Mcgregor Blvd, Fort Myers, FL 33908-1957 | 2020-07-28 |
| 1386253151 | Md Now Medical Centers Inc | Clinic/Center | 12748 S Cleveland Ave, Fort Myers, FL 33907-3823 | 2020-07-28 |
| 1821607698 | Md Now Medical Centers Inc | Clinic/Center | 2609 Santa Barbara Blvd, Cape Coral, FL 33914-4457 | 2020-07-28 |
| 1366051435 | Md Now Medical Centers Inc | Clinic/Center | 9690 Glades Rd Unit 425, Boca Raton, FL 33434-3978 | 2020-07-24 |
| Find all providers with the same taxonomy | ||||
| City | WESLEY CHAPEL |
| Zip Code | 33544 |
Please comment or provide details below to improve the information on MITCHELL FORMAN, M.D., P.A..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.