Individual
DAVIT ONIKASHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13681 DOCTORS WAY, FORT MYERS, FL 33912-4300
(239) 343-2052
(239) 343-5348
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-2052
(239) 343-5348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME141001
FL
208M00000X
Hospitalist Physician
Primary
ME141001
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104689300
—
FL
Enumeration date
05/24/2016
Last updated
07/17/2024
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