Farahmand, Audrey Eshrat
Farahmand, Audrey Eshrat is an sole proprietor health care provider with primary practice located at 14090 Metropolis Ave Suite #102, Fort Myers FL 33912. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Farahmand, Audrey Eshrat can be contacted via phone (239) 332-2388.Contact Information
Primary practice address
14090 Metropolis Ave Suite #102
Fort Myers FL 33912
Phone: (239) 332-2388
Fax: (239) 332-2382
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | ME89962 | Florida |
Profile Details
| NPI number | 1265492565 |
|---|---|
| LBN Legal business name | Farahmand, Audrey Eshrat |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Dec 23rd, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265492565 | NPPES |
| Florida | Other | 20-2539348 | TAX ID |
| Florida | Other | 48097 | TAX ID |
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