Individual provider · Type 1 NPI

Mariam Tkeshelashvili

Student in an Organized Health Care Education/Training Program · Cape Coral, FL

NPI number 1033049143 Active

Practice location

708 Del Prado Blvd., Suite 1
Cape Coral, FL 33990

Call (239) 424-3161 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1033049143

Mariam Tkeshelashvili's National Provider Identifier is 1033049143, issued on May 20, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cape Coral, FL. The record was last updated on May 20, 2026.