Organization
MARBELA MEDICAL WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM NABAVI MD (OWNER)
(573) 421-7322
Entity
Organization
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
12/01/2015
Last updated
12/01/2015
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