Audrey Eshrat Farahmand, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME89962 Issued in FL

Practice address

14090 Metropolis Ave
Suite #102
Fort Myers, FL 33912

Phone

(239) 332-2388

Fax

(239) 332-2382

NPI assigned

Mar 23, 2006

Last updated

Dec 23, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Farahmand Plastic Surgery P.L.

  • Plastic Surgery Physician
  • Fort Myers, FL
  • NPI 1669660890
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1265492565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 COURT OF PALMS",
            "address_2": "UNIT #605",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339086545",
            "telephone_number": "239-332-2388",
            "fax_number": "239-332-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14090 METROPOLIS AVE",
            "address_2": "SUITE #102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33912",
            "telephone_number": "239-332-2388",
            "fax_number": "239-332-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAHMAND",
        "first_name": "AUDREY",
        "middle_name": "ESHRAT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME89962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "20-2539348",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "48097",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Farag, D.O.
• Sherry Farag, M.D.
• Farah Family Health Center Inc
• Jason P Farah, APRN
• Farahmand Plastic Surgery P.L.
• Lynn Farber
• David A Farcy, MD
• Iman Fares, MD
• James Anthony Fargnoli, MSW
• Madeleine Denise Farhat, PT, DPT

• Plastic Surgery Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.