Individual
NICOLE J FANARJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2919 W SWANN AVE STE 303, TAMPA, FL 33609-4051
(813) 569-0740
(813) 864-7603
Mailing address
2919 W SWANN AVE STE 303, TAMPA, FL 33609-4051
(813) 569-0740
(813) 864-7603
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME107878
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5905150
—
NC
Enumeration date
08/09/2006
Last updated
03/01/2023
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