Bochorishvili, Vakhtang

Bochorishvili, Vakhtang is an individual health care provider with primary practice located at 800 Goodlette Rd N Suite 370, Naples FL 34102-5400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Bochorishvili, Vakhtang can be contacted via phone (239) 643-0800.

Contact Information

Primary practice address
800 Goodlette Rd N Suite 370 Naples FL 34102-5400
Phone: (239) 643-0800
Fax: (239) 643-9062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME102074 Florida

Profile Details

NPI number 1760449854
LBN Legal business name Bochorishvili, Vakhtang
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jul 21st, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760449854 NPPES
Florida MEDICAID 000229800
Florida Other 51273
Florida Other AL660Z

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