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NPI Code Detail

MEDICARE: MICHAEL FORSTHOEFEL M.D.

MEDICARE: MICHAEL FORSTHOEFEL 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
1207R00000XInternal Medicine PhysicianME42428FL
2207R00000XInternal Medicine Physician021978GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1UNIVERSAL HLTH CAREOTHERFLINSURANCE NETWORK
2SOUTH CAREOTHERFLINSURANCE NETWORK
3VISTAOTHERFLINSURANCE NETWORK
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6BLUECROSS/BLUE SHLDOTHERFL37453
7UNITED HEALTH CAREOTHERFLINSURANCE NETWORK

General Provider Information

NPI Number : 1780689356
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL FORSTHOEFEL M.D.
Provider Business Mailing Address
First Line : 1300 MEDICAL DRIVE
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4661
Country : US
Telephone Number : 850-216-0100
Fax Number : 850-216-0126
Provider Business Practice Location Address
First Line : 1300 MEDICAL DRIVE
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4661
Country : US
Telephone Number : 850-216-0100
Fax Number : 850-216-0126
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 07/09/2015

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