Antonella Formisano

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

F652003956720 Issued in FL

Practice address

2555 Collins Ave
Miami Beach, FL 33140-4723

Phone

(305) 767-5905

NPI assigned

Jan 9, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1942746433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 COLLINS AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 COLLINS AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404723",
            "telephone_number": "305-767-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMISANO",
        "first_name": "ANTONELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "F652003956720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foot & Ankle Specialists of Miami Beach, P.a.
• Amy Ford, MSN, WHNP-BC, CNM-BC
• William Forde, CRNA
• Morgan Forer, L.C.S.W.
• Michael Forman, AP
• Melissa Marie Fornabia, D.O.M
• Carla Forns, DO
• Andrew James Forster, M.D.
• Tami Coromoto Fort, SA-C
• Marcelle L Forte Guillaume, PA-C

• Student in an Organized Health Care Education/Training Program in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Student in an Organized Health Care Education/Training Program in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.