Organization Active NPI

Farahmand Plastic Surgery P.L.

  • Plastic Surgery Physician
  • Fort Myers, FL
National Provider Identifier
1669660890
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME89962 Issued in FL
Legal business name
FARAHMAND PLASTIC SURGERY P.L.
Practice address
13710 Metropolis Ave
Unit 104
Fort Myers, FL 33912-7144
Phone
(239) 332-2388
Fax
(239) 332-2382
NPI assigned
Oct 12, 2007
Last updated
Jan 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Dr. Audrey Farahmand, M.D.NPI 1265492565
Title
Manager
Phone
(239) 332-2388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X ME89962 FL Primary

Addresses

Primary practice location

13710 Metropolis Ave
Unit 104
Fort Myers, FL 33912-7144

Mailing address

13710 Metropolis Ave
Unit 104
Fort Myers, FL 33912-7144
Phone (239) 332-2388

National Provider Directory

National Provider Directory

Locations

12411 Brantley Commons Ct
Fort Myers, FL 33907
Phone (239) 332-2388

14090 Metropolis Ave
Ste 102
Fort Myers, FL 33912
Phone (239) 313-7522

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1669660890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13710 METROPOLIS AVE",
            "address_2": "UNIT 104",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127144",
            "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": "13710 METROPOLIS AVE",
            "address_2": "UNIT 104",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127144",
            "telephone_number": "239-332-2388",
            "fax_number": "239-332-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARAHMAND PLASTIC SURGERY P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "FARAHMAND",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "239-332-2388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME89962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.