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NPI Code Detail

MEDICARE: DR. CRAIG MICHAEL FORLEITER M.D.

MEDICARE:  DR. CRAIG MICHAEL FORLEITER  M.D.
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
12086S0122XPlastic and Reconstructive Surgery PhysicianME131680FL

General Provider Information

NPI Number : 1700178936
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CRAIG MICHAEL FORLEITER M.D.
Provider Business Mailing Address
First Line : 5540 PGA BLVD STE 200
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33418-3987
Country : US
Telephone Number : 561-571-4000
Fax Number : 561-508-8890
Provider Business Practice Location Address
First Line : 5540 PGA BLVD STE 200
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33418-3987
Country : US
Telephone Number : 561-571-4000
Fax Number : 561-508-8890
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2011
Last Update Date : 07/22/2020

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Directions to “ DR. CRAIG MICHAEL FORLEITER M.D.” Practice Location

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