Tsiala Mozaidze Valid NPI

Individual provider · Internal Medicine Physician · Atlantis, FL

NPI

1407134489

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

ME 120288 (FL)

Sex

Female

Sole proprietor

Yes

Enumerated

2011-07-25

Last updated

2014-10-27