| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1659446045 | MITCHELL FORMAN MD PA | 1644 BRUCE B DOWNS BLVD | WESLEY CHAPEL | FL | 335448600 | |||
| 1720392558 | MITCHELL FORMAN, M.D., P.A. | 6414 RENWICK CIR | TAMPA | FL | 336471172 | |||
| 1033589445 | BACKSMAN | CHRISTOPHER | ROBERT | 38135 MARKET SQ | ZEPHYRHILLS | FL | 335427505 | |
| 1851640452 | BERGAMO | DAVID | JUSTIN | 38135 MARKET SQ | ZEPHYRHILLS | FL | 335427505 | |
| 1477115798 | SCRUGGS | DORIS | EILEEN | 38135 MARKET SQ | ZEPHYRHILLS | FL | 335427505 |