Organization
DR. FERESHTEH NOURAFSHAR M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERESHTEH NOURAFSHAR M.D. (OWNER)
(239) 949-9992
Entity
Organization
Contact information
Practice address
4575 VIA ROYALE, SUITE 216, FORT MYERS, FL 33919-1043
(239) 277-9009
(239) 277-9007
Mailing address
9200 BONITA BEACH RD SE, SUITE 106, BONITA SPRINGS, FL 34135-4280
(239) 949-9992
(239) 949-9006
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME76450
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260538400
—
FL
Enumeration date
10/01/2014
Last updated
10/01/2014
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