DR. AUDREY ESHRAT FARAHMAND (NPI# 1265492565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265492565 |
| Entity Type | Individual |
| Full Name | DR. AUDREY ESHRAT FARAHMAND |
| Credential | M.D. |
| Practice Address |
14090 Metropolis Ave Suite #102 Fort Myers FL 33912 |
| Mailing Address |
11600 Court of Palms Unit #605 Fort Myers FL 33908-6545 |
| Practice Telephone | 2393322388 |
| Practice Fax Number | 2393322382 |
| Mailing Telephone | 2393322388 |
| Mailing Fax Number | 2393322382 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2011-12-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | ME89962 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | TAX ID | 20-2539348 | 01 |
| FL | BLUE CROSS BLUE SHIELD | 48097 | 01 |
| Street Address |
14090 METROPOLIS AVE SUITE #102 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306251293 | West Wind Chiropractic LLC | Chiropractor | 14090 Metropolis Ave, Ste 101, Fort Myers, FL 33912-4450 | 2014-06-30 |
| 1740694843 | Sean Keith Padgett | Chiropractor | 14090 Metropolis Ave, Ste 101, Fort Myers, FL 33912-4450 | 2014-06-17 |
| 1003065202 | John Howard Kellenberger Sr. | Chiropractor | 14090 Metropolis Ave, Suite 101, Fort Myers, FL 33912-4450 | 2008-09-11 |
| 1639339559 | Stevens Family Chiropractic P L | Chiropractor | 14090 Metropolis Ave, Ste 101, Fort Myers, FL 33912-4450 | 2008-06-13 |
| 1548396047 | Marlene S Moulton | Internal Medicine | 14090 Metropolis Ave, Suite 102, Fort Myers, FL 33912-4450 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962775353 | Ralph Garramone Md Pa | Plastic Surgery | 12998 S Cleveland Ave, Fort Myers, FL 33907-3849 | 2012-02-15 |
| 1477824852 | Joseph Francis Kusiak | Plastic Surgery | 3320 Shady Bend, Fort Myers, FL 33905 | 2012-01-18 |
| 1639333115 | Wittenborn Plastic Surgery LLC | Plastic Surgery | 14131 Metropolis Ave Ste 105, Fort Myers, FL 33912-4332 | 2008-07-15 |
| 1952335945 | Azul Cosmetic Surgery & Medical Spa Pa | Plastic Surgery | 13470 Parker Commons Blvd, Suite 101, Fort Myers, FL 33912-1809 | 2006-07-10 |
| 1396796405 | Ralph Ronald Garramone Jr. | Plastic Surgery | 8660 College Pkwy, Suite 100, Fort Myers, FL 33919-4886 | 2006-05-13 |
| 1710983218 | William Scott Wittenborn | Plastic Surgery | 6811 Porto Fino Cir, Fort Myers, FL 33912-4354 | 2005-06-21 |
| 1467713198 | Jeffrey Lang M D P A | Plastic Surgery | 2780 Cleveland Ave, Suite 806, Fort Myers, FL 33901-5858 | 2012-05-29 |
| 1164664751 | Joseph F Mazza Jr Md Pa | Plastic Surgery | 12640 Creekside Ln, Fort Myers, FL 33919-3359 | 2009-03-30 |
| 1598916611 | Paradise Coast Pavilion, LLC | Plastic Surgery | 9400 Gladiolus Dr, Suite 105, Fort Myers, FL 33908-6699 | 2008-10-07 |
| 1871749663 | Jeremy Tamir | Plastic Surgery | 13778 Plantation Rd, Fort Myers, FL 33912-4301 | 2008-08-12 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
Please comment or provide details below to improve the information on DR. AUDREY ESHRAT FARAHMAND.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.