Konstantin Dzamashvili is a Neurology Physician based in Fort Myers, FL and is specialized in Neurology. Konstantin Dzamashvili practices in Fort Myers, FL and has the professional credentials of MD. The NPI Number for Konstantin Dzamashvili is 1174529085 and holds a License No. 036093821 (Florida).
The current practice location address for Konstantin Dzamashvili is 12670 Whitehall Dr, Fort Myers, FL and can be reached out via phone at 239-936-3554 and via fax at 239-936-8993. You can also correspond with Konstantin Dzamashvili through the mailing address at 12670 WHITEHALL DR, FORT MYERS, FL - 33907-3619 (mailing address contact number: 239-936-3554).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206147046 | 01 | MEDICARE PTAN (INDIVIDUAL) | |
| CA4748 | 01 | MEDICARE RAILROAD (GROUP) | |
| 206147 | 01 | MEDICARE PTAN (GROUP) | |
| 036093821 | 01 | IL | STATE LICENSE |
| 036093821 | 05 | IL | |
| P00904562 | 01 | MEDICARE RAILROAD (PROVIDER) |
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