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1992082804
MICHELLE FORMOSO
MIAMI, FL
NPI
1992082804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP9264772)
Enumeration Date
2011-11-05
Last Update Date
2011-11-09
Business Address
Mrs. MICHELLE FORMOSO ARNP-C
6498 SW 24TH ST
MIAMI, FL 33155-1949
Phone number: 305-964-7392
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Mailing Address
Mrs. MICHELLE FORMOSO ARNP-C
14048 SW 83RD PL
PALMETTO BAY, FL 33158-1400
Phone number: 305-467-7657
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