Maryam D Nabavi, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN404 Issued in FL

Practice address

13774 Plantation Rd
Ste 105
Fort Myers, FL 33912-4461

Phone

(239) 231-1342

NPI assigned

May 8, 2007

Last updated

Feb 19, 2016By 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

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.

• Marbela Medical Wellness Inc

  • General Practice Physician
  • Fort Myers, FL
  • NPI 1851766943
  Authorized official Same address or phone

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1366655821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13774 PLANTATION RD",
            "address_2": "STE 105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124461",
            "telephone_number": "239-231-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13774 PLANTATION RD",
            "address_2": "STE 105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124461",
            "telephone_number": "239-231-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABAVI",
        "first_name": "MARYAM",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thandiwe Myers
• Myeyedr Optometry of Florida, LLC (MyEyeDr.)
• Muriel Yi Yi Myint, MD
• Dmitry Mysh, MD
• Mystical Medical Transport LLC
• Lahoma J Nachtrab, CRNA
• George Marc Nackley, DO
• Adam Curtis Nader, M.D.
• Nadia Vazquez, LLC (Clinica del Sol)
• Emily Joy Naftali, PA-C

• General Practice Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.