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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KONSTANTIN DZAMASHVILI, MD

Active

DR. KONSTANTIN DZAMASHVILI, MD is a Neurology healthcare provider located in FORT MYERS, Florida. NPI 1174529085 is currently active in the NPPES registry. Verify at CMS.

Neurology · FORT MYERS, FL

Registration Details

NPI Number
1174529085
Provider Type
Individual
Gender
Male
NPI Issued
Jun 24, 2005 (21.096041053939 yrs)
Last Updated
Nov 18, 2016
Licenses
036093821 (IL)
036093821 (IL)
ME126918 (FL)

Practice Information

Address
12670 WHITEHALL DR
FORT MYERS, FL, 339073619
Browse FL providers · Browse ZIP 33907
Phone
2399363554
Fax
2399368993
Primary Specialty
Neurology
2084N0400X
Additional Specialty
Psychoanalysis
Additional Specialty
Neurology

Other Neurology Providers in FORT MYERS, FL

Name Credential NPI
DR. CHRIS J MARINO M.D. 1417950635
DR. WILLIAM J CARRACINO M.D. 1861495079
DR. LANE R CARLIN M.D. 1033112263
DR. PAUL F DRISCOLL M.D. 1376546598
ROBERT G JACOBY M.D. 1518961531
DAVID KENNETH REYNOLDS D.O. 1942207477
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.