Dr. Konstantin Dzamashvili
MD | Neurology | 52+ years Exp
12670 Whitehall Dr, Fort Myers
Florida, 33907-3619
239-936-3554 239-936-8993
Maps & DirectionsDr. Konstantin Dzamashvili is a Fort Myers, Florida based neurologist with 52 years of experience in Neurology. He completed his graduation in 1973. He is also affiliated with hospitals like and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Konstantin Dzamashvili is ME126918 for Neurology in Florida. His current practice location is 12670 Whitehall Dr, Fort Myers. Patients can reach him at 239-936-3554 or can fax him at 239-936-8993. Dr. Konstantin Dzamashvili is MD in Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1174529085.
Dr. Konstantin Dzamashvili specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
Dr. Konstantin Dzamashvili speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Dr. Konstantin Dzamashvili |
| Specialization: | Neurology |
| Gender: | Male |
| Credentials: | MD |
| Experience: | 52+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1973 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 12670 Whitehall Dr, Fort Myers,
Florida, 33907-3619 |
| Phone: | 239-936-3554 |
| Fax: | 239-936-8993 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 7517953607 |
| Enrollment ID: | I20160812001746 |
| NPI Number: | 1174529085 |
| NPI Enumeration Date: | 24 Jun, 2005 |
| NPI Last Update On: | 18 Nov, 2016 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Konstantin Dzamashvili are as mentioned below.
| License Number | Specialization | State | Status | |
| ME126918 | Neurology | Florida | Primary | |
| 036093821 | Neurology | Illinois | Secondary | |
| 036093821 | Vascular Neurology | Illinois | Secondary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (100012) | Fort myers, FL | Acute Care Hospital |
| (100244) | Cape coral, FL | Acute Care Hospital |
| (100220) | Fort myers, FL | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Konstantin Dzamashvili is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Florida Neurology Group P L (0840286407) | 8 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Konstantin Dzamashvili such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 206147046 | Other | | MEDICARE PTAN (INDIVIDUAL) |
| CA4748 | Other | | MEDICARE RAILROAD (GROUP) |
| 206147 | Other | | MEDICARE PTAN (GROUP) |
| 036093821 | Other | Illinois | STATE LICENSE |
| 036093821 | Medicaid | Illinois | |
| P00904562 | Other | | MEDICARE RAILROAD (PROVIDER) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dr. Konstantin Dzamashvili
12670 Whitehall Dr,
Fort Myers, Florida |
| Zip: | 33907-3619 |
| Phone Number: | 239-936-3554 |
| Fax Number: | 239-936-8993 |
Patients can reach Dr. Konstantin Dzamashvili at
12670 Whitehall Dr, Fort Myers, Florida or can
call to book an appointment on 239-936-3554.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.