Active NPI
Farahmand Plastic Surgery P.L.
- Plastic Surgery Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- ME89962
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Audrey Farahmand, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 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 DirectoryLocations
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.
-
- Plastic Surgery Physician
- Fort Myers, FL
- NPI 1265492565
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.