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Banafsheh Kiankhooy Fard, MD
Pediatric Adolescent Medicine Physician in Fort Myers, Florida
NPI 1174819395

Banafsheh Kiankhooy Fard is a Pediatric Adolescent Medicine Physician based in Fort Myers, FL and is specialized in Adolescent Medicine. Banafsheh Kiankhooy Fard practices in Fort Myers, FL and has the professional credentials of MD. The NPI Number for Banafsheh Kiankhooy Fard is 1174819395 and holds a License No. ME119702 (Florida).

The current practice location address for Banafsheh Kiankhooy Fard is 2780 Cleveland Ave Ste 709, Fort Myers, FL and can be reached out via phone at 239-343-3831 and via fax at 239-343-2301. You can also correspond with Banafsheh Kiankhooy Fard through the mailing address at PO BOX 2147, FORT MYERS, FL - 33902-2147 (mailing address contact number: 239-343-3831).

Location: 2780 Cleveland Ave Ste 709, Fort Myers, FL, 33902-2147
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Provider Profile Details
NPI Number
1174819395
Provider Name
Banafsheh Kiankhooy Fard
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2780 Cleveland Ave Ste 709, Fort Myers, FL, 33902-2147
Phone Number
239-343-3831
Fax Number
239-343-2301
Provider Enumeration Date
06/27/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ME119702 01 FL LICENSE
institution
Provider Business Practice Location Address Details
Address
2780 Cleveland Ave Ste 709
City
State
Zip
33901-5857
Phone Number
239-343-3831
Fax Number
239-343-2301
person
Provider Business Mailing Address Details
Address
Po Box 2147
City
State
Zip
33902-2147
Phone Number
239-343-3831
Fax Number
239-343-2301
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
License No.
ME119702 (Florida)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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