Provider Demographics
NPI:1508060765
Name:FORREST, EMILY KRISTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:KRISTIN
Last Name:FORREST
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Gender:F
Credentials:MD
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Mailing Address - Street 1:615 E PRINCETON ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-1456
Mailing Address - Country:US
Mailing Address - Phone:407-898-6005
Mailing Address - Fax:407-898-7722
Practice Address - Street 1:615 E PRINCETON ST
Practice Address - Street 2:SUITE 300
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-1456
Practice Address - Country:US
Practice Address - Phone:407-898-6005
Practice Address - Fax:407-898-7722
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2020-08-19
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Provider Licenses
StateLicense IDTaxonomies
NY2353182080P0006X
FLME1121082080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics