Individual
DR. VAKHTANG BOCHORISHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 GOODLETTE RD N, SUITE 370, NAPLES, FL 34102-5400
(239) 643-0800
(239) 643-9062
Mailing address
800 GOODLETTE RD N, SUITE 370, NAPLES, FL 34102-5400
(239) 643-0800
(239) 643-9062
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME102074
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000229800
—
FL
01
—
51273
BCBS
FL
01
—
AL660Z
MEDICARE
FL
Enumeration date
05/01/2006
Last updated
07/21/2022
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