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NPI Code Detail

MEDICARE: DR. JOHNATHAN VISARION TORIKASHVILI MD

MEDICARE:  DR. JOHNATHAN VISARION TORIKASHVILI  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1710829288
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHNATHAN VISARION TORIKASHVILI MD
Provider Business Mailing Address
First Line : 1300 MICCOSUKEE RD
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-5054
Country : US
Telephone Number : 850-431-8261
Fax Number : 850-431-8251
Provider Business Practice Location Address
First Line : 1300 MICCOSUKEE RD
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-5054
Country : US
Telephone Number : 850-431-8261
Fax Number : 850-431-8251
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ DR. JOHNATHAN VISARION TORIKASHVILI MD” Practice Location

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