Individual
MIRIAM CHRISTINE ZOLFOGHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1206 COUNTRY CLUB BLVD, CAPE CORAL, FL 33990-2180
(239) 574-7454
(239) 574-9439
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME101389
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007766-00
—
FL
01
—
16251
BCBS FL
FL
01
—
166662
UNIVERSAL HEALTHCARE
FL
01
—
326854
AVMED
FL
01
—
4003817
CIGNA
FL
01
—
501270
WELLCARE
FL
01
—
9067164
AETNA
FL
01
—
P00940426
RAILROAD MCR
FL
01
—
P1112167
FREEDOM
FL
01
—
P204123
OPTIMUM
FL
Enumeration date
07/09/2008
Last updated
02/07/2017
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