Organization
FARAHMAND PLASTIC SURGERY P.L.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUDREY FARAHMAND M.D. (MANAGER)
(239) 332-2388
Entity
Organization
Contact information
Practice address
13710 METROPOLIS AVE, UNIT 104, FORT MYERS, FL 33912-7144
(239) 332-2388
(239) 332-2382
Mailing address
13710 METROPOLIS AVE, UNIT 104, FORT MYERS, FL 33912-7144
(239) 332-2388
(239) 332-2382
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME89962
FL
Other
Enumeration date
10/12/2007
Last updated
01/05/2011
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