Garrett Forman · Student in an Organized Health Care Education/Training Program

3003 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307

Overview

Garrett Forman is a Student in an Organized Health Care Education/Training Program practicing in Tampa, Florida. The National Provider Identifier (NPI) is #1053257089, which was assigned on April 23, 2026, and the registration record was last updated on April 23, 2026. The practitioner's main practice location is at 3003 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307; the contact telephone number is 8135548126. The primary taxonomy of Garrett Forman is Student in an Organized Health Care Education/Training Program (390200000X). Garrett Forman is licensed to practice in the state of Florida.

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider Information

NPI 1053257089
Entity Type Individual
Provider Name GARRETT FORMAN
Gender Male
Credential MD, MPH
Practice Address 3003 W Dr Martin Luther King Jr Blvd
Tampa
FL 33607-6307
Practice Telephone 8135548126
Mailing Address 3003 W Dr Martin Luther King Jr Blvd
Tampa
FL 33607-6307
Mailing Telephone 8135548126
Certification Date 2026-04-23
Enumeration Date 2026-04-23
Last Update Date 2026-04-23
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y390200000XStudent in an Organized Health Care Education/Training ProgramFL

Taxonomy Information

Primary Taxonomy

Code 390200000X
Taxonomy Student in an Organized Health Care Education/Training Program
Classification Student in an Organized Health Care Education/Training Program
Grouping Student, Health Care
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Angela Grace Hanton 98 S Los Robles Ave, Pasadena, CA 91101-2433Student in an Organized Health Care Education/Training Program2026-06-06
Christopher Markosian 4590 Nash Way, Saint Louis, MO 63110-1020Student in an Organized Health Care Education/Training Program2026-06-06
Alice Tucker 99 Jonathan Lucas St, Charleston, SC 29425-8900Student in an Organized Health Care Education/Training Program2026-06-06
Jeniffer Esmeralda Mendez 3600 N Garfield St, Midland, TX 79705-6329Student in an Organized Health Care Education/Training Program2026-06-06
Varsha Vintu Maliyil 3600 N Garfield St, Midland, TX 79705-6329Student in an Organized Health Care Education/Training Program2026-06-06
Kyle Kloeppel 5850 E Still Cir, Mesa, AZ 85206-3618Student in an Organized Health Care Education/Training Program2026-06-06
Gregory Wright Hubbard Jr. 593 Eddy St, Providence, RI 02903-4923Student in an Organized Health Care Education/Training Program2026-06-06
Claire Lacksen 1120 15th St, Augusta, GA 30912-0006Student in an Organized Health Care Education/Training Program2026-06-06
Eric Haigh 650 E Indian School Rd, Phoenix, AZ 85012-1839Student in an Organized Health Care Education/Training Program2026-06-06
Nila Shankar 5323 Harry Hines Blvd, Dallas, TX 75390-9006Student in an Organized Health Care Education/Training Program2026-06-06
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Location Information

Street Address 3003 W DR MARTIN LUTHER KING JR BLVD
City TAMPA
State FL
Zip Code 33607-6307
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Sara Wilcox 3003 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307Student in an Organized Health Care Education/Training Program2026-05-06
Eseoghene Opeyemi Ebiala 3003 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307Student in an Organized Health Care Education/Training Program2026-03-31
Muhammad Hamza 3003 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307Student in an Organized Health Care Education/Training Program2026-04-03
Alexis Blackburn 3003 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307Student in an Organized Health Care Education/Training Program2026-03-31
Ricardo Henri 3003 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307Student in an Organized Health Care Education/Training Program2026-04-04
Alexzandra Zdrava 3003 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307Student in an Organized Health Care Education/Training Program2026-04-01
Jaron Castillo Sanchez 3003 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307Student in an Organized Health Care Education/Training Program2026-04-04
Smita Saji 3003 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307Student in an Organized Health Care Education/Training Program2026-04-06
Roger Villatoro Suazo 3003 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307Student in an Organized Health Care Education/Training Program2026-04-03
Nicholas Brenden Lemar 3003 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307Student in an Organized Health Care Education/Training Program2026-04-07
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Kelvin Cheukhang Lau 3003 W Mlk Jr. Blvd, 3rd Floor, Tampa, FL 33607-6307Pediatrics Physician2008-08-04
Jennifer Anne Locke 3001 West Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307Emergency Medicine Physician2008-08-12
Stephanie Stephen Mattathil 3003 W Dr Mlk Blvd Fl Jrblvd2, Tampa, FL 33607-6307Hospitalist Physician2015-04-27
Aalok T. Patel American Anesthesiology Associates of Florida, Inc, 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307Anesthesiology Physician2009-03-30
Laurie Ann Letarte 3003 W Dr Mlk Blvd Fl 2, Tampa, FL 33607-6307Advanced Heart Failure and Transplant Cardiology Physician2009-03-30
Nicole Nicosia Esposito 3001 W Dr Martin Luther King Jr Blvd # Ms 3208, Tampa, FL 33607-6307Clinical Pathology Physician2008-08-28
Danyelle Kula 3003 W Dr Mlk Blvd Fl 3, Tampa, FL 33607-6307Family Nurse Practitioner2021-09-20
Nicholas Granato 3001 W Dr Martin Luther King Jr Blvd Fl 4, Tampa, FL 33607-6307Registered Nurse2022-01-28
Richard A Smith 3001 W Dr Martin Luther King Jr Blvd Fl 8, Tampa, FL 33607-6307Psychiatry Physician2009-06-29
Brandi Nicole Alaniz 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307Student in an Organized Health Care Education/Training Program2026-05-30
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Colin Kehus 3001 W Doctor Martin Luther King Jr Blvd, Tampa, FL 33607Pharmacist2025-10-31
Saba Ali 3003 W Dr. Martin Luther King Jr Blvd, Maildrop #3033, Tampa, FL 33607Student in an Organized Health Care Education/Training Program2025-04-11
Midtown Tampa Asc, LLC 2727 Martin Luther King Blvd, Ste 150, Tampa, FL 33607Ambulatory Surgical Clinic/Center2026-04-03
Yainet Padron Sotorrio 2905 W Leroy St, Tampa, FL 33607Behavior Technician2025-07-31
Vladimir Valencia 3003 W Dr. Martin Luther King Jr., Tampa, FL 33607Student in an Organized Health Care Education/Training Program2025-04-15
Mothering Melanin LLC 3009 West St Conrad Street, Tampa, FL 33607Doula2024-10-28
Publix Super Markets, Inc. 1700 N Blvd, Tampa, FL 33607Durable Medical Equipment & Medical Supplies2025-02-03
Hawthorne Oncology Pain Experts LLC 2727 West Martin Luther King Blvd, Suite 520, Tampa, FL 33607Pain Medicine (Anesthesiology) Physician2022-10-17
Galina Mira Guia 1936w M.L.K. Jr Blvd, Tampa, FL 33607Behavior Technician2023-04-07
Little Giants Children Care Ppec Inc 4146 N Armenia Ave, Tampa, FL 33607Medically Fragile Infants and Children Day Care2025-03-21
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Providers with similar names

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.