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1346207065
ROY MICHAEL FORMAN
TALLAHASSEE, FL
NPI
1346207065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME 42427)
Enumeration Date
2006-04-27
Last Update Date
2021-03-11
Business Address
ROY MICHAEL FORMAN M.D.
2140 CENTERVILLE PL
TALLAHASSEE, FL 32308-4342
Phone number: 850-383-3300
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Mailing Address
ROY MICHAEL FORMAN M.D.
PO BOX 15349
TALLAHASSEE, FL 32317-5349
Phone number: 850-383-3425
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