Dididze, Marine
Dididze, Marine is an sole proprietor health care provider with primary practice located at 7300 Del Prado Cir S , Boca Raton FL 33433-3386. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Dididze, Marine can be contacted via phone (872) 231-3162.Contact Information
Primary practice address
7300 Del Prado Cir S
Boca Raton FL 33433-3386
Phone: (872) 231-3162
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | ME143532 | Florida |
Profile Details
| NPI number | 1093177529 |
|---|---|
| LBN Legal business name | Dididze, Marine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2016 |
| Last updated | Nov 7th, 2025 - about last year |
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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