Individual
NICOLAI G MEJEVOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3340 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-8088
(941) 764-5858
(941) 764-1657
Mailing address
3340 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-8088
(941) 764-5858
(941) 764-1657
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036125985
IL
207RI0011X
Interventional Cardiology Physician
Primary
036125985
IL
Other
Enumeration date
06/28/2010
Last updated
09/21/2018
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