NANA S AMIRIDZE

MELBOURNE, FL
NPI1447246509
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2085N0700X Radiology Neuroradiology
(Licence: FL  ME105768)
Additional Taxonomies2085R0202X Radiology Diagnostic Radiology
(Licence: MD  D0060165)
2085R0204X Radiology Vascular & Interventional Radiology
(Licence: FL  ME105768)
Enumeration Date2005-09-23
Last Update Date2013-01-02
Business Address
DR. NANA S AMIRIDZE MD, PHD
1251 S HICKORY ST
MELBOURNE, FL 32901-3221
Phone number: 321-434-3420
Mailing Address
DR. NANA S AMIRIDZE MD, PHD
PO BOX 561600
ROCKLEDGE, FL 32956-1600
Phone number: 321-434-4660