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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARCO KLOVANISH, COTA

Active

MARCO KLOVANISH, COTA is a Student (Health Education/Training) healthcare provider located in LADY LAKE, Florida. NPI 1861818882 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · LADY LAKE, FL

Registration Details

NPI Number
1861818882
Provider Type
Individual
Gender
Male
NPI Issued
Mar 14, 2014 (12.432530084524 yrs)
Last Updated
Mar 14, 2014
License
OTA1124 (FL)

Practice Information

Address
824 HIGHWAY 466
UNIT 3106
LADY LAKE, FL, 321594252
Browse FL providers · Browse ZIP 32159
Phone
3525730136
Primary Specialty
Student (Health Education/Training)
390200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.