Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Konstantin Dzamashvili, MD

Individual provider Neurology Physician · NPI 1174529085

Dr. Konstantin Dzamashvili, MD is a Neurology in Fort Myers, Florida. Qualified in 1973, 53 years ago. Practices with Florida Neurology Group P L, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Illinois.

Years since qualifying
53
Licensed in
FL, IL
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12670 Whitehall Dr
Fort Myers, FL 33907-3619
Phone: (239) 936-3554
Fax: (239) 936-8993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence ME126918 (FL)
Neurology Physician Taxonomy 2084N0400X · Licence 036093821 (IL)
Vascular Neurology Physician Taxonomy 2084V0102X · Licence 036093821 (IL)

Record details

NPI number1174529085
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2005
Last updated in NPPESNovember 18, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 1973 (53 years in practice)
Group practice Florida Neurology Group P L — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fort Myers