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NPI Code Detail

MEDICARE: MR. MICHAEL FOREHAND ARNP

MEDICARE: MR. MICHAEL FOREHAND ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerARNP2892752FL
2363LF0000XFamily Nurse Practitioner214205GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730133521
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL FOREHAND ARNP
Provider Business Mailing Address
First Line : 2337 RB CARTER PKWY
Second Line :
City : BONIFAY
State : FL
Zip : 32425-7321
Country : US
Telephone Number : 850-628-6232
Fax Number :
Provider Business Practice Location Address
First Line : 100 S MADISON ST
Second Line :
City : THOMASVILLE
State : GA
Zip : 31792-5473
Country : US
Telephone Number : 229-498-1088
Fax Number : 229-498-1066
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 08/20/2013

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