MARYAM D NABAVI M.D. - NPI 1366655821 - General Practice in Fort Myers, FL

Q: What is the provider's specialty?

The provider's specialty is General Practice with taxonomy code 208D00000X.

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About Maryam D Nabavi M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYAM D NABAVI M.D. (NPI 1366655821) is an individual general practice provider in Fort Myers, Florida, licensed in Florida (ACN404) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1366655821

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameMARYAM D NABAVICredential: M.D.

Location Address13774 PLANTATION RD, STE 105Fort Myers, FL 33912-4461

Mailing Address13774 Plantation Rd, Ste 105Fort Myers, FL 33912-4461 · (239) 231-1342

Phone(239) 231-1342

Sole ProprietorYes

Enumeration DateMay 8, 2007

Last NPPES UpdateFebruary 19, 2016

✔ NPI 1366655821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in FL · ACN404

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

13774 PLANTATION RD, Fort Myers, FL 33912

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