J. Michael Forrest MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME0062996 Issued in FL

Legal business name

J. MICHAEL FORREST MD PA

Practice address

7420 NW 5TH St
Suite 105
Plantation, FL 33317-1611

Phone

(954) 583-6311

Fax

(954) 583-6492

NPI assigned

Apr 25, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Michael Forrest, M.D.

Title

Physician

Phone

(954) 583-6311

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1063687507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 NW 5TH ST",
            "address_2": "SUITE 105",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171611",
            "telephone_number": "954-583-6311",
            "fax_number": "954-583-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 NW 5TH ST",
            "address_2": "SUITE 105",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171611",
            "telephone_number": "954-583-6311",
            "fax_number": "954-583-6492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. MICHAEL FORREST MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "954-583-6311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME0062996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375981400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthonia Iwueze
• Lourdes Milady Izaguirre Chiuz, M.D.
• Mara Sahil Izquierdo, FNP
• J & J Wellness of Plantation, Inc
• J Harold Stanley MD PA
• Jabal Uffelman, MD PA
• Jeffrey Glenn Jabick, LMHC
• Jacaranda Dental
• Allison Jackowitz
• Aja Jackson, RRT

• Primary Care Clinic/Center in Plantation, FL
• Providers in Plantation, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.