Pataraia, Irakly

Pataraia, Irakly is an individual health care provider with primary practice located at 5762 Sw 60Th Ave , Ocala FL 34474-5677. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Pataraia, Irakly can be contacted via phone (516) 792-0070.

Contact Information

Primary practice address
5762 Sw 60Th Ave Ocala FL 34474-5677
Phone: (516) 792-0070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 135001129 Illinois
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO4577 Florida

Profile Details

NPI number 1780051490
LBN Legal business name Pataraia, Irakly
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2015
Last updated Jul 8th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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