Individual
MARYAM D NABAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13774 PLANTATION RD, STE 105, FORT MYERS, FL 33912-4461
(239) 231-1342
Mailing address
13774 PLANTATION RD, STE 105, FORT MYERS, FL 33912-4461
(239) 231-1342
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN404
FL
Other
Enumeration date
05/08/2007
Last updated
02/19/2016
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