Michael W Formisano MD PA
NPI 1639365158 · General Practice Physician · Hollywood, FL
Michael W Formisano MD PA is a General Practice Physician organization in Hollywood, FL (NPI 1639365158).
Provider details
- NPI number
- 1639365158
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Formisano, President(954) 989-4110
- License
- ME 91614 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-09-18
- Last updated
- 2007-11-15
Frequently asked questions
- What is Michael W Formisano MD PA's NPI number?
- Michael W Formisano MD PA's National Provider Identifier (NPI) is 1639365158, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Michael W Formisano MD PA?
- Michael W Formisano MD PA is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Michael W Formisano MD PA located?
- Michael W Formisano MD PA's practice location on file with NPPES is 4024 N Circle Dr, Hollywood, FL 33021-6726.
- What is Michael W Formisano MD PA's phone number?
- The practice phone number listed in the NPPES registry for Michael W Formisano MD PA is (954) 989-4110.
- Who is the authorized official for Michael W Formisano MD PA?
- The authorized official listed on Michael W Formisano MD PA's NPPES record is Michael Formisano, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Michael W Formisano MD PA's NPI active?
- Yes — Michael W Formisano MD PA's NPI (1639365158) is active in the NPPES registry as of the last update on 2007-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.