Nicole Autumn Mirjafari
MD | Pediatrics | Female
Nicole Autumn Mirjafari, MD is a Lehigh Acres, Florida based Pediatric doctor with medical specialization in
General Pediatrics. Nicole Autumn Mirjafari is also known as
Nicole Autumn Smith.
Current practice location of Nicole Autumn Mirjafari is
260 Beth Stacey Blvd Ste C, Lehigh Acres, Florida - 33936-6074. She can be contacted on phone at
239-343-9888 and fax number 239-303-0714.
Nicole Autumn Mirjafari is a sole proprietor of her business.
NPI number (Unique professional ID) for Nicole Autumn Mirjafari is
1144325622 which was assigned by NPPES on 13 Sep, 2006 and it was last updated on 30 Mar, 2021.
Nicole Autumn Mirjafari license number is
ME138382 for Pediatrics (208000000X) in Florida.
Nicole Autumn Mirjafari is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Nicole Autumn Mirjafari basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Nicole Autumn Mirjafari |
|---|
| Other Name : | Nicole Autumn Smith |
|---|
| Credential : | MD |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
|---|
Business Address:
Nicole Autumn Mirjafari address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 260 Beth Stacey Blvd Ste C
Lehigh Acres, FL, 33936-6074
United States |
|---|
| Phone Number : | 239-343-9888 |
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| Fax Number : | 239-303-0714 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1144325622 |
|---|
| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Sep, 2006 |
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| Last Updated On : | 30 Mar, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole Autumn Mirjafari are as mentioned. Primary taxonomy code for Nicole Autumn Mirjafari, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 24093 | OK |
| 208000000X | Pediatrics | No | Q0568 | TX |
| 208000000X | Pediatrics | Yes | ME138382 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Nicole Autumn Mirjafari such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 104889000 | MEDICAID | FL | |
| 100768880F | MEDICAID | OK | |
| 100768880I | MEDICAID | OK | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | nsmith223347@Direct.leememorial.org
| |
|
| 2776 CLEVELAND AVE,
FORT MYERS, FL, 33901-5864
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 2147
Fort Myers, FL, 33902-2147
United States |
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| Phone Number : | 239-343-9888 |
|---|
| Fax Number : | 239-303-0714 |
|---|
Business Location:
Patients can refer following map for directions to
Nicole Autumn Mirjafari practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.